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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 11/19/2019 <br />Name: Adam Parsons <br />Department of Public Works - Engineering Division <br />BPW Date: 11/26/2019 Phone Extension: 9302 <br />..,.. .,. rvrvmunira�rcrtm:�m�� �A "._,es✓ar��.zsau�rn.�;u�srz^�ierum�rzn�u wwuw�.u�r�.w.wwduv��mw,nev�wvwevervewew,r.;:!�r:�re�.�,.o�,,,,,�,,,��m <br />lie uired Prior to Submittal to Board <br />BPW Attorney X Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing Michael Schmidt <br />Check the A <br />Item Type - .l��s�t;�rr ee /br All Submissions <br />Professional Services Agreement ❑ Contract <br />❑ Open Market Contract <br />Amendment/Addendum <br />❑ Bid Opening <br />Bid Award <br />❑ Quote Opening <br />El <br />Quote Award <br />® Proposal Opening <br />[-] <br />C/O & PCA No. <br />n Chg. Order, No. <br />El <br />Traffic Control <br />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 />uired Information <br />Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />TBD.......... ....... ................ ....................... ...... <br />�. <br />0 Yes E] If Yes, Approved by Purchasing <br />[:] No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Citv-Wide Overhead Door Contract <br />Department Building Maintenance Budgets ............................ <br />Various <br />TBD <br />initial contract; 2-vear renewal <br />Standardize City facility overhead door repairs under a single contractor,. <br />For Change Orders Only _ ......... <br />Amount of Increase .......... _ _.. <br />[� Decrease$ ................. _. _ _ ._............._. <br />Previous Amount $ _ <br />......... ... <br />Increase................................._w./o°......................._.............. <br />Current Percent of Change: Decrease (....... <br />% ..... w_ <br />New Amount $ <br />_........ �..._.._ _. o.......................... ........ <br />Increase /o <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />