HomeMy WebLinkAboutRequest to Advertise - Equip Purchase for Nello Corp Phase XV Proj No. 116-136Date
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 $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Richard Estes
Department
Division/Bureau
Purchasing ®
George King
Check the Appropriate Item Type
— Required for All Submissions
❑
Agreement
❑ Contract
❑ Proposal ❑ Addendum
❑
Professional Services
❑ Resolution
❑
Bid Opening
❑ Bid Award
® Req. to Advertise ❑ Title Sheet
❑
Quote Opening
❑ Quote Award
❑
Change Order No.
❑ C/O & PCA No.
❑ PCA
❑
Ease/Encroach.
❑ Traffic Control:
❑
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
116-136
River West Development TIF
324.1050.460.42.07
Advertisement for the purchase of welding machines for Nello
Corporation. First Ad 12/16, Second Ad 12/23, Open Bids 01/10
Required Contractor's on -
Certification Forms Attached (N
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Increase _$ -d of T'31.1icyvor&5,
Decrease $
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Dis
Copy Original
® ❑ Aaron Kobb
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