HomeMy WebLinkAboutRequest to Advertise - One (1) or More 2017 or Newer Single Axle Dump Truck with Underbody Scraperf. .l �� `.'
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
7/10117
Jeff Hudak
Department Central Services
U
Agreement
U Contract LJ Proposal U Addendum
❑
Professional Services
❑ Resolution
❑
Bid Opening
❑
Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Opening
❑
Quote Award
❑ Change Order No.
❑
CIO & PCA No. ❑ PCA
❑ Ease/Encroach.
❑ Traffic Control
f lOther:
Company or Vendor Name
New Vendor
MBEAVBE Contractor
MBEAVBE Contractor
Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
U Yes L.J No U If Yes, Approved by Purchasing
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
Spec W — One (1) or more 2017 or Newer Single Axle Dump Truck
with Underbody Scraper
2017 Venues, Parks, & Arts Capital Principal 201-1101-452-37-11 &
Interest 201-1101-452-37-12 tsubiect to lease funding)
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
Paul Moreland, Aaron Perri, Cecil Eastman