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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Dateww.2/11/20...........................................................................�.�_w ............... .......... <br />Name Lory Timmer Department DCI <br />BPW Date 2/25/20 Phone Extension 5841 <br />��ra�uu ... MrA�m�mubaun A� .,� is HUH���uHUHiHiHiHiHiHiHiHiHUHUHUHUHUHu ., ., r� �„ raa: r,� ^rms � rv�mmmmi�w�rm��� +�r,+� �„� � erm� ME, <br />... .._. ,� ,���,.....,,, <br />_.._.. and <br />Review and A � aayal Wt µ������•+��1 Prior to Submittal to Board <br />Diversity Compliance ® Officer Name Aladean DeRose <br />and Inclusion Officer <br />BPW Attorney Z Attorney Name <br />Dept. Attorney ® Attorney Name <br />Purchasing Z Michael Schmidt <br />Clara McDaniels <br />Sandra Kennedy <br />Check the Appropriate Item[ii <br />F Professional Services ❑] Agreement ❑Contract <br />❑l Open Market Contract ® Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />❑ Proposal Opening [:] C/O & PCA No. <br />�] Chg. Order, No. ❑ Traffic Control <br />Other: <br />.........,,.�tion <br />Information <br />---- <br />All Submissions <br />F Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />❑ Ease./Encroach <br />❑ Title Sheel <br />.. For C haM Orders - - <br />Amount of Increase $ _ <br />�.�.�. <br />Decrease ($ ) <br />Previous Amount $ <br />o.. �......�................. <br />Increase /o <br />Current Percent of Change: Decrease <br />0 <br />New Amount $ <br />___ <br />Increase <br />Total Percent of Change: Decrease ( %) <br />_................ .. _._.. <br />Time Extension Amount: <br />-_ _.........------ �m_.................................................... <br />New Completion Date: <br />