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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />3/3/2020 <br />Becca Plantz <br />Department Public Works <br />BPW Date 3/10/2020 Phone Extension 5998 <br />111111 nlmlmllwwmmmm m <br />..._. ......................_.... ............ ......__ <br />mm .......__ Review.ITand Approval Required Prior to Submittal to Board <br />....._ .. .._M .. ......_.�........ <br />Diversity Compliance ® Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney �] Attorney Name <br />..... . ................... <br />Purchasing El <br />Check the <br />Professional Services Agreement <br />L Open Market Contract <br />0❑ Bid Opening <br />❑ Quote Opening <br />E] Proposal Opening <br />Chg. Order, No. <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 />ate Item Tempe- <br />__....�............._ <br />Contract <br />® Amendment/Addendum <br />Bid Award <br />]] Quote Award <br />[:] C/O & PCA No. <br />F] Traffic Control <br />u:ired Information <br />......... <br />All Submissions <br />�J Proposal <br />Special Purchase, QPA <br />�] Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />WGI <br />—� ---._...................-. _...�....... .......... <br />El Yes] If Yes, Approved by Purchasing <br />No <br />E] MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Downtown Parking Garage Repairs <br />......_....._.............. .... <br />115-143 <br />Repairs & Maint. Services / Byildirr R&M mm <br />601-0464-645.36-01 m_ ......w .......... <br />$4 Ora coal Contract: $200,000 ,50000 ( __.. Amended: $204,500) <br />Not to Exceed <br />Amendment 2 to professional services to provide evacuation plans for the <br />Wayne Street PS, Leighton PS, and Main & Colfax PS. <br />________uuu_ <br />..._..__.................................. Kaaj ge Orders Only <br />For L ... <br />❑ .... _.w <br />Amount of Increase $ _ _ mm_..... ............. <br />❑ Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />.......... ....... ww <br />Current Percent of Change: <br />Decrease <br />% <br />New Amount <br />$ <br />Increase% <br />Total Percent of Change: <br />Decrease <br />A <br />Time Extension Amount: <br />.... <br />New Completion Date: <br />