My WebLink
|
Help
|
About
|
Sign Out
Home
Browse
Search
Traffic Control Device - New Installation -1308 S. 27th.
sbend
>
Public
>
Public Works
>
Board of Works Documents
>
2023
>
Traffic Control Devices
>
Traffic Control Device - New Installation -1308 S. 27th.
Metadata
Thumbnails
Annotations
Entry Properties
Last modified
10/10/2023 10:57:56 AM
Creation date
10/10/2023 10:57:53 AM
Metadata
Fields
Template:
Board of Public Works
Document Type
Requests
Document Date
10/10/2023
There are no annotations on this page.
Document management portal powered by Laserfiche WebLink 9 © 1998-2015
Laserfiche.
All rights reserved.
/
6
PDF
Print
Pages to print
Enter page numbers and/or page ranges separated by commas. For example, 1,3,5-12.
After downloading, print the document using a PDF reader (e.g. Adobe Reader).
Show annotations
View images
View plain text
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/28/2023 <br />Name Scott Kreeger <br />Department Public <br />Works <br />BPW Date 10/10/23 Phone Extension 9245 <br /> <br />Required Prior to Submittal to Board BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br /> <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br /> Professional Services Agreement Contract Proposal <br /> Open Market Contract Amendment/Addendum Special Purchase, QPA <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. PCA <br /> Chg. Order, No. Traffic Control: <br />Residential Handicap <br />Parking <br /> Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name 1308 S. 27th St Residential Handicap Parking <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description ____Recommend Approval <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> Time Extension Amount: <br />New Completion Date:
The URL can be used to link to this page
Your browser does not support the video tag.