HomeMy WebLinkAboutRequest to Advertise - Equip Purchase for Nello Corp Phase XIV Proj No. 116-135Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
12/06/2016
Public Works
Engineering
BPW Date 12/13/2016 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
Richard Estes
Department
Division/Bureau
Check the Appropriate Item Type — Required for All Submissions
❑
Agreement
El Contract ❑Proposal ❑Addendum
❑
Professional Services
❑ Resolution
❑
❑
Bid Opening
Quote Opening
❑ Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Award
❑
Change Order No.
❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach.
❑ Traffic Control:
❑
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 ❑ Increase
❑ Decrease
Previous Amount $
Current Percent of Change:
New Amount $
Total Percent of Chanoe:
py
Original
®
❑
❑
❑
❑
❑
Aaron Kobb
L_J Yes LJ No ❑ If Yes Approved by Purchasing
❑ MBE ❑ WBE
❑ No LJ Yes Name of Compan
Equipment Purchase for Nello Corporation Phase XIV
116-135
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 Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
For Change Orders