HomeMy WebLinkAboutRequest to Advertise - Equip Purchase for Nello Corp Phase XIII Proj No. 116-134Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
12/06/2016 Department
Richard Estes
Public Works
Division/Bureau Engineeri
BPW Date 12/1312016 Phone Extension 5896
I 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
I Check the Appropriate Item Type — Required for All Submissions
❑
Agreement
❑ Contract ❑Proposal ❑ Addendum
❑
Professional Services
❑ Resolution
❑
Bid Opening
❑ Bid Award ® Req. to Advertise El Title Sheet
❑
Quote Opening
❑ Quote Award
❑
Change Order No.
❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control:
F
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 H Increase
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chanae-
Copy Original
® ❑ Aaron Kobb
❑ ❑
Information
U Yes LJ No LJ If Yes, Approved by Purchasing
❑ MBE ❑ WBE
❑ No LJ Yes Name of Company
Equipment Purchase for Nello Corporation Phase XIII
116-
River West Development TIF
324.1050.460.42.07
Advertisement for the purchase of welding machines for Nello
Corporation. First Ad 12/16, Second Ad 12/23, Open Bids 01/10
Required Contractor's on -
Certification Forms Attached (N
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Change Orders
After Approval __. � -(.I 1 /,z