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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/2/21 Department Fire <br />BPW Date 11/9/21 Phone 9257 <br />Name <br />Todd Skwarcan, Asst <br />Chief/Services <br /> <br /> <br /> Required Prior to Submittal to Board Legal Attorney Name Christiana Shakour <br />Controller <br />Controller review is required for all Contracts $5,000.00 or more <br />and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type – Required for All Submissions <br /> Agreement Contract Proposal Addendum <br /> Claim <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award <br /> Chg Order No. C/O & PCA No. PCA <br /> Ease./Encroach. Traffic Control Resolution <br /> Other: <br />Required Information <br />Company or Vendor Name Pella Windows <br />New Vendor Yes No If Yes, Approved by Purchasing <br />MBE/WBE Contractor MBE WBE <br />Project Name Windows Replacement/Station 6 <br />Project Number <br />Funding Source Repairs & Maintenance-Buildings <br />Account No. 101-09-090-090-436001 <br />Amount $ 10,994.63 <br />Terms of Contract <br />Purpose/Description Replacement windows in upstairs dormitory at Fire Station 6, for <br />existing windows that are obsolete, inoperable hardware, and <br />leak in heavy weather. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />$ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />PO No. <br />Dispersal After Approval <br />Copy Original <br /> <br /> <br />