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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/03/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 12/10/2019 Phone Extension 3057 <br />Jw <br />..................................................__ __................................... ..... <br />�� leuired Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing EJ <br />Check the Appropriate Item Type — equ <br />F1 Professional Services Agreement Contract <br />F] Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />F-1 C/O & PCA No. <br />❑ Chg. Order, No. <br />n Traffic Control <br />Other: Long Term <br />Occupancy Permit <br />Information <br />r All Submissions <br />Proposal <br />Special Purchase, QPA <br />E] Req. to Advertise <br />E] Reject Bids/Quotes <br />E] PCA <br />❑ Resolution <br />❑ Ease./Encroach <br />Company or Vendor Name Weigand Construction Co., Inc. <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 />❑ Title Sheet <br />❑ Yes L_J If Yes, Approved by Purchasing <br />No <br />E] WBE Completed E-Verify Form Attached El Nos <br />es and Thornbur_ Building) 201 S...Main(Barnes .��.... <br />See attached memo. <br />...................... _ ...._ ....... ....... .._... _.. _ . ........ <br />For Chase Ordersmml <br />Amount of <br />increase $ _...._._._._.... <br />Decrease ($ ). <br />Previous Amount <br />_..._.... <br />$ <br />-- _________W.................w � _................. <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />(� /o) <br />New Amount <br />$_ <br />._Increase <br />o%._....._ <br />Total Percent of Change: <br />Decrease <br />__. ........... <br />( /o <br />Time Extension Amount: <br />New Completion Date ........ ........ .................w....... ......._W�_� ..... �.....6 <br />