Request to Advertise - Washington Street Improvement Project Proj No. 118-105

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 3/16/20 Name K le Silvells Department Engineering BPW Date 3/24/20 Phone Extension 9083 ........- ._.......... _ --- wReview and AppKoyatjl cg sired Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney F-1 Attorney Name Purchasing Check the Appropriate Item Type -_, Professional Services Agreement F Contract [� Open Market Contract ❑ Amendment/Addendum [� Bid Opening ❑ Bid Award ❑ Quote Opening ❑ Quote Award Proposal Opening ❑ C/O & PCA No. E] Chg. Order, No. Traffic Control El Other: Required Information All Submissions Proposal LJ Special Purchase, QPA Z Req. to Advertise [� Reject Bids/Quotes ❑ PCA Resolution Ease./Encroach ® Title Sheei Company or Vendor Name TBD ................................n ___.... �. ❑Yes❑ If Yes, Approved by Purchasing New Vendor ❑ No MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached Nos Project Name Washington Street Improvement Project Project Number 118-105 Funding Source COIT Account No. -......................... ......_._ __........... 404-1001-460-42.03 Amount........................� _........ Terms of Contract Purpose/Description ................ ForChangeOrders Only Amount of El Increase $ �j Decrease Previous Amount ...... $ ....._ m_.......... Current Percent of Change: g Increase Decrease o � _... o ff) New Amount $ Increase /o Change:tal Percent of Decrease ° /o)m T� me Extension Amount: . New Completion Date: ....... ..........._.