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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 3, 2020 <br />Department <br />Name Jacob M. Klosinski Ed�:u ineerit m Utilities <br />BPW Date February 11, 2020 Phone Extension Ext. 9496 <br />__ _Review and Approval Re uiNd Prior to Submittal to Board <br />Diversity Compliance Officer Name Michael Patton <br />and Inclusion Officer <br />....�.......BP W Attorney__�............................ ..____. � � � -.� w� w�w <br />® Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name <br />Purchasing ® Michael Schmidt <br />Check the prop ri to Itemjyp- <br />Professional Services Agreement E] Contract <br />Open Market Contract <br />❑ Bid Opening <br />�] Quote Opening <br />Proposal Opening <br />Fj Chg. Order, No. <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 />Amount of ❑ <br />El <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />Clara McDaniels <br />E Amendment/Addendum <br />❑' Bid Award <br />❑ Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Information <br />All Submissions <br />u Proposal <br />❑ Special Purchase, QPA <br />® Req. to Advertise <br />�i Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />Yes If Yes, Approved by Purchasing <br />No <br />❑ Title Sheel <br />F1 MBE ❑ WBE Completed E-Verify Form Attached Nos <br />cking of Biosolids for Land Application <br />2020 T....ru.� <br />n/a <br />.. .............. _._...­_ .�... <br />Utilities, Sewage Works Operations, Contractual Services Other <br />641-0631-793-6335 <br />Per Truck Per Hour <br />The Division of Utilities re tests the Board of Public Works qppjqyLal oftli <br />Request to Advertise for the recei t of unit ricin2 on a Der truck per hour <br />basis for the annual Bioso�l%fs Truk inContract, The proposed MWBE Gc <br />for this vroiect was reviewed on 01/29/2020 and determined to be 5.00%. <br />For Chanp, .__............ <br />__ �.... <br />Increase $ <br />Decrease$.,....,. ......_.. _._..... ......... �. , ..eJt .._ ........... <br />Increase % <br />µµ Decreaseµ % <br />Increase % <br />Decrease w...�'�....� <br />New Completion Date: <br />