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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: <br />Name: <br />November 19. 2019 <br />Charlotte Brach <br />Department: Public Works <br />BPW Date: November 26, 2019 Phone Extension: 9246 <br />/ <br />BPW Attorney El Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing 1-1 <br />H Professional Services Agreement ❑ Contract <br />F-] Open Market Contract ❑ Amendment/Addendum <br />[] Bid Opening <br />❑ Bid Award <br />E] Quote Opening <br />E] Quote Award <br />E]Proposal Opening <br />❑I C/O & PCA No. <br />F] Chg. Order, No. <br />® Traffic Control <br />r-1 Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />]] Reject Bids/Quotes <br />E] PCA <br />F] Resolution <br />Ease./Encroach <br />Yes ]If Yes Approved.._by Purchasing . <br />urchasing_..................... _ <br />�] No <br />�] MBE Completed E-Verify Form Attached E] Yes <br />WBE �] No <br />Lafayette Between Bartlett and Navarre <br />Clean up No Parking Signage on Lafayette between Bartlett and Navarre <br />according to attached exhibits. <br />r, <br />Amount of Increase $ <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease %) <br />New Amount $ <br />Increase �.�--_._ ..... ........____- <br />% <br />Total Percent of Change: Decrease /o) <br />Time Extension Amount;. <br />New Completion Date:mmmmw__... <br />