HomeMy WebLinkAboutRequest to Advertise - 2016 Parking Garage Improvements - Proj No. 115-143BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date Sep. 21, 2016 Department Engineering
Name Richard Estes Division/Bureau Public Works
BPW Date Sep 27, 2016 Phone Extension 5896
Required Prior to Submittal to Board
Legal ❑ Attorney Name
Controller ❑ Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
Check the Appropriate Item Type — Required for All Submissions
❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum
❑ Professional Services ❑ Resolution
❑ Bid Opening ❑ Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award
❑ Change Order No. ❑ C/O & PCA No. ❑ PCA
❑ Ease/Encroach. ❑ Traffic Control
n Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
red Information
❑ No ❑ Yes Name of Company
2016 Parking Garage Improvements
115-143
Parking Garage Fund
412-0401-415-36.01
Attempt to Re -bid Elevator Repairs and Structural Repairs as -
needed
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination. Non -Debarment. E-Verifv. Iran. etc.)
ired For Change Orders
Increase
Decrease $ APPROVED
g of PalicWorks-
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
❑ Corbitt Kerr
®
❑ David Relos
®
❑ John Martinez
Dispersal After