HomeMy WebLinkAboutRequest to Advertise - Equip Purchase for Nello Corp Phase XVI Proj No. 116-137Date 12/06/2016
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Department Public Works
Name
Richard Estes
Division/Bureau
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
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:
I -I
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 Change:
Copy Original
® ❑ Aaron Kobb
❑ ❑
Information
If
U No U Yes Name of Company
Equipment Purchase for Nello Corporation Phase XVI
116-1
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
El Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
or Chanqe Orders