HomeMy WebLinkAboutRequest to Advertise - Spec R - One or More 2017 or Newer 40' Articulating Boom Lifty
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
4/18/17
Jeff Hudak
Agreement
Professional Services
Bid Opening
Quote Opening
Change Order No.
Ease/Encroach.
Other:
Company or Vendor Name
New Vendor
MBENVBE Contractor
MBEIWBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Department Central Services
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc
Amount of ❑ Increase $
❑
Decrease $
Previous Amount $
Current Percent of Change:
New Amount
Total Percent of Change:
Copy
Original
®
❑
Dispersal After Approval
Jeff Hudak & Sheila Enos
Cecil Eastman, Paul Moreland, Aaron Perri