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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: <br />Name: <br />BPW Date <br />07/15/2025 <br />_Caitlin Wyant, EI Department of Public Works — Engineering Division <br />07/22/2025 Phone Extension: 7483 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />n <br />Check the Appropriate Item Type — Required_ for All Submissions j <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 ❑ Resolution <br />❑ Other: n Ease./Encroach <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 />Special Contract Provisions <br />Purpose/Description <br />uired Information <br />TX Concrete, LLC <br />❑ Yes❑ If Yes, Approved by Purchasing <br />® No <br />0 MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />_Wayfinding Sign Relocation MLK Blvd <br />125-048 <br />PR-000421736 <br />700 <br />Relocating wayfinding sign to increase accessibility to City Hall when <br />sidewalk is extended by internal crews <br />1. For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease K$ } <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Combletion Date: <br />