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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/3/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 12/10/19 Phone Extension 5998 <br />R quirod Prior to Submittal to Board <br />........... _M.... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Ap�;]at Item f <br />Professional Services Agreement ❑ Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening F Bid Award <br />Quote Opening F] Quote Award <br />Proposal Opening F C/O & PCA No. <br />E] Chg. Order, No. E] Traffic Control <br />0 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 />Information <br />All Submissions <br />Proposal <br />[ Special Purchase, QPA <br />❑ Req. to Advertise <br />[] Reject Bids/Quotes <br />PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />U YesU If Yes, Approved by Purchasing <br />F'No <br />E] MBE Completed E-Verify Form Attached Yes <br />F] WBE No <br />_West Side uiet Zone - Commercial Drive Relocation <br />-0..1...1............_._W................................. <br />120011.. <br />- <br />LRSA Ma <br />j,or Projects <br />251-0608-431.42-96 <br />Lump Sum <br />Partial demolition of an overhang structure and removal and replacement of <br />fencing. <br />For Cali Orders Onl <br />Amount of �I Increase $ <br />..... <br />Decrease ($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease <br />Increase % <br />Decrease ( % <br />