HomeMy WebLinkAboutRequest to Advertise - JMS Exterior Emergency Exit Stairwell - Proj No 116-098BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9/20/2016 Department
Public Works
Name Richard Estes Division/Bureau Engineering
BPW Date 9/27/2016 Phone Extension 5896
Required Prior to Submittal to Board
Legal ® Attorney Name: Michael Schmidt
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 ® George King
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
Current Percent of Chang_
New Amount
Total Percent of Chance:
Increase
Copy
Original
®
❑
❑
❑
uired Information
❑ Yes ❑ No ❑ If Yes, Approved by
Lj No LJ Yes Name of Company
JMS Exterior Emergency Exit Stairwell
116-098
RWDA TIF
324-1050-460-3102
Installation of an exterior emergency exit stairwell. Proposed
schedule: Ad1-9/30, Ad2-10/7, Bids Due 10/20, Bid Award 10/25
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Patrick C Kerr
After