HomeMy WebLinkAboutRequest to Advertise - JMS Facade Work - Project No. 116-048Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
11 /10/2016
Richard Estes
Department
Division/Bureau
Public Works
Engineering
BPW Date 11/22/2016 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:
Required Information
Company or Vendor Name
❑ Yes ❑ No ❑ If Yes, Approved by
New Vendor
Purchasing
MBE/WBE Contractor
❑ MBE ❑ WBE
MBE/WBE Contractor Requested
❑ No ❑ Yes Name of Company
Project Name
JMS Fagade Work
Project Number
116-048
Funding Source
RWDA TIF
Account No.
324-1050-460-3102
Amount
Terms of Contract
Purpose/Description
JMS Building Fagade renovation. Proposed schedule: Adl-
11/25, Ad2-12/2, Bids Due 12/13, Bid Award 12/13
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of ❑ Increase
$
❑ Decrease
$
Previous Amount $
APPROVED
Roam
Current Percent of Change:
Mir ,o Works
%
New Amount $
Total Percent of Change:
kink! 9irl (I
%
Dispersal After Approval
Copy Original
® ❑ Patrick C Kerr
® ❑ Aaron Kobb