HomeMy WebLinkAboutRequest to Advertise - Spec K - One or More 2017 or Newer Compact Track Loader- s-Y=F a► -� - . �_ i �.,�,�. ,, _tom..',
O
< a . ��.
µl . S 4
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
3/27/17
Jeff Hudak
Agreement
Professional Services
❑ Bid Opening
❑ Quote Opening
❑ Change Order No.
❑ Ease/Encroach.
I-1 Other:
Company or Vendor Name
New Vendor
MBEIWBE Contractor
MBE/WBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
U Contract
❑ Resolution
❑ Bid Award
❑ Quote Award
❑ C/O &PCANo.
❑ Traffic Control
Department Central Services
Proposal
® Req. to Advertise
Addendum
❑ Title Sheet
U Yes U No Ll If Yes, Approved by Purchasing
❑ MBE ❑ WBE
_❑ No ❑ Yes Name of Company
Spec K — One 1 or more 2017 or Newer Compact Track Loader
2017 Venues, Arts, & Parks Capital Principal 201-1101-452-37-11 &
Interest 201-1101-452-37-12 (subject to lease funding)
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.
Amount of ❑ Increase
❑ Decrease
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Dispersal After Approval
Copy Original
® ❑ Jeff Hudak & Sheila Enos
® ❑ Paul Moreland, Aaron Perri, Cecil Eastman
❑ ❑