HomeMy WebLinkAboutRequest to Advertise - Spec Z - One or More 2017 or Newer Single Axle 4x4 Dump Truck with Contractor Dump Bed(�g-ea«2.
S\\\ \�/��.� \\;
«% >� «�� �/�� ��f�
�� \ ` � � /�
��������
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 8/4/17
Name Jeff Hudak Department
Purchasing ® George King
Central Services
Agreement Contract Proposal Addendum
❑ Professional Services ❑ Resolution
❑ Bid Opening ❑ Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Opening ❑ Quote Award
❑ Change Order No. ❑ CIO & PCA No. ❑ PGA
❑ Ease/Encroach. ❑ Traffic Control
17 Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor
Req uested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Yes ❑ No ❑ If Yes, Approved b Purchasing
F1 MBE rI WBE
❑ No ❑ Yes Name of Company _
Spec Z — One (1) or more 2017 or Newer Single Axle 4X4 Dump
Truck with Contractor Dump Bed
2017 Venues, Parks, & Arts Capital Principal 201-1101-452-37-
Interest 201-1101-452-37-12 (subject to lease funding)
11
�
Bid Opening Date:
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination Non -Debarment, E-Verify, Iran, etc.
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