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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 17 2020 <br />Department Public <br />Name Scott Kreeger Works <br />BPW Date March 24 2020 Phone Extension 9245 <br />1111 fm <br />.._._....__._.�.___ __......._............. ___.._ _..___ �_....._ <br />Required PriortoSubmittal to Board <br />BPW Attorney Attorney Name Clara McDauiels <br />Dept. Attorney Attorney Name <br />Purchasing ® Michael Schmidt <br />Check the Appropriate Item Type _. <br />L Professional Services Agreement n Contract <br />�] Open Market Contract <br />Amendment/Addendum <br />[� Bid Opening <br />Bid Award <br />❑ Quote Opening <br />El Quote Award <br />❑ Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />Traffic Control <br />El Other: <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />® Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />.... ..........._— <br />Required Information <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />❑ Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />❑ No <br />MBE/WBE Contractor <br />❑� MBE Completed E-Verify Form Attached El Yes <br />No <br />Project Name <br />2020 Street and Sewer Department Materials <br />Project Number <br />__...._._ _ .............. ....... . <br />120-005 <br />Streets, Curb & Sidewalk, .... �........__ r ... <br />Sewer Con crretet S <br />e, Sewer Ins Water Work <br />Funding Source <br />Parks, MVH-Restricted ....�...�_.....�.. <br />.mmmmmm.mm, µ <br />_. <br />4 <br />202-0607-431.22-222-30, .22-40, 23-02, .23-03, 23-20, 23-40, .39-89, <br />641-0621-792.22-24, .23-02, .23-03, .23-04, 202-0619-431.23-03, .23-24, <br />641-0625-792.22-24, .23-04, 640-0620-811.22-24, .23-04, 620-0640- <br />606.23-30, 201-1101-452.39-89 (Proj Code K61RMT), 266-0607-431.22- <br />Account No. <br />30, 266-0607-431.23-02 <br />Amount <br />Terms of Contract <br />Unit Price <br />Purpose/Description <br />Request to advertise on March 27 and April ..._....._ <br />3 <br />For Change Orders <br />Amount of F] <br />Increase $ _....... <br />Decrease_ of <br />Previous Amount <br />$ <br />Increase as __.. 2-4- <br />t, <br />Current Percent of Change: <br />--Z401 <br />Decrease ') <br />New Amount <br />$ .... .......... <br />Total Percent of Change: <br />......... <br />Increase 0/0 <br />