Award Proposal - City-Wide Overhead Door Services - Industrial Door of Northern Indiana

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/14/2019 Department Central Services Name Adam Parsons Division/Bureau _,.�.. ��,........�.�.�.�.�.�.�........�....... .�........ ..............�.�.._.--....�......�. ....�. BPW Date 10/22/2019 Phone Extension 9302 '.. �� i��iM�i��lllfl�llmmmllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllllll'�JNNivYJvll/FNl,:SkM�dl6fiktl "' i h.3:++..F.�t9¢�PIl3�M�d(dWw'OIUPW'�191�Y�'�I'M'i81WVIVMOWWIW'WYd'��II�WIIW�IWWI�!"NIIIBNIfu2WHMid4.�P�.:d — NM'NpRdI�kIJRdIP✓��IM�18��.M.�UIIIVWdW'IYFi Required Prior to Submittal to Board Legal . _... _w..._ _..._..._... _ . .A.... �_ ® Attorney Name: Clara McDaniels Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing El Check he l❑ Agreement Amendment Professional Services Bid Opening ❑ Quote Opening ❑ Change Order No. Ease/Encroach. Other: 1�pate Item T e — Required for All Submissions ContractyP.........�m..._�❑m,...Proposa.l................_��__ (❑ Resolution ❑ Bid Award ® Req. to Advertise ❑ Quote Award ❑ C/O & PCA No. ❑ PCA ❑ Traffic Control: Addendum ❑ Title Sheet Company or Vendor Name TBD ❑ Yes ❑ No ❑ If Yes, Approved by New Vendor Purchasio_.................................................. _w................................................m .....m._ ..... MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ _mm..... ............................... . .......... ......... No ❑ Yes Name of Company Project Name City -Wide Overhead Door Contract Project Number _dgets Funding Source Department Building Maintenance _ nce Buudgets ..........._ Account No. Various ............._ Amount ........... ......... ..................................�.�...�.�.... TBD Terms of Contract initial contract, 2 year renewal Purpose/Description __?_year Standardize city facility overhead door repairs under one contractor ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) �_�� .._.� .,....... �eqd or C as .Orders Only .. ...... h,,,.. �........�.. �.�m_ . _� Amount of ❑ Increase Decrease $ $ Previous Amountfi ...... ..��gr �� ..... Current Percent of Change: YO New Amount Total Percent of Chawww m.. _........_% ................ ._.__.... . ❑ "'LLg ...... .............. _ ..... Dispersal After Approval ___ ......____- _ Copy Original0 El ❑ 0 E1 ❑,_._m,,,�.� �_ ��.� �. _ .......... �..