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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/6/2020 <br />Name Adam Parsons Department Central Services <br />BPW Date 1/14/2020 Phone Extension 9302 <br />;wmuwuzrMxrm,Nxra rr:+�.,,�v----r. mm!miwim!mwu�mmr�mrwNroimv� <br />,.. <br />µ~µRevwww.i..e.. w m and Aq?pja to Submittal .t. o... Board <br />Diversity Compliance ® Officer Name <br />and Inclusion Officer <br />.............. BP .. _W_ .. _W....._................................... ..................__........ w....�. .......-...�..................._ <br />W AttorneyAttorney Name Clara MDani+ls <br />Dept. Attorney ❑ Attorney Name <br />PurchasingMichael Schmidt <br />Check the A <br />Item Type — Required fi)r All Submissions <br />[ ] Professional Services Agreement M Contract <br />❑ Open Market Contract <br />El Amendment/Addendum <br />n Bid Opening <br />n Bid Award <br />E] Quote Opening <br />❑j Quote Award <br />E] Proposal Opening <br />❑ C/O & PCA No. <br />nI Chg. Order, No. <br />❑ Traffic Control <br />F Other: <br />aired Information <br />-- <br />Company or Vendor Name D. A. Dodd, LLC <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 />El Special Purchase, QPA <br />n Req. to Advertise <br />Reject Bids/Quotes <br />n PCA <br />El Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />J._J Yes[ I If Yes, Approved by Purchasing <br />® No <br />® MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Cit Wide Plumbin Services Contract <br />Individual Departmental Maintenance Budgets <br />TBD <br />TBD (see attached contract for hourly rates <br />To standardize and streamline lAumbi g services for Citv departments. <br />d or Ch ,n c do s ; nl � _............. �w ,, ....�_�_ <br />Amount of Increase $ <br />Decrease ($ <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />( % <br />New Amount <br />$ <br />............... <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />(..... <br />Time Extension Amount: <br />m <br />New Completion Date: <br />