HomeMy WebLinkAboutRequest to Advertise - Spec AA Two More or Less 2017 or Newer Utility Crew TrucksDate
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
8/25/17
Jeff Hudak
Department Central Services
BPW Date 9/12/17 Phone Extension 574-235-9316
Agreement
Professional Services
Bid Opening
Quote Opening
Change Order No.
Ease/Encroach.
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
H Contract jJ Proposal U Addendum
❑ Resolution
❑ Bid Award ® Req. to Advertise ❑ Title Sheet
❑ Quote Award
❑C/O &PCANo. ❑PCA
❑ Traffic Control
Required lnfo;rmation
El Yes No If Yes, Approved by Purchasing
❑ MBE ❑ WBE
❑ No ❑ Yes Name of Company
Spec AA -- Two 2) more or less 2017 or Newer Utility Crew Trucks
2017 Sewer Department Capital Budget
642-0621-415-43-02
Ra
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:
Copy
Original
®
❑
®
❑
❑
❑
EP, J
%
Dispersal After Approval
Jeff Hudak & Sheila Enos
Derick Roberts, Dale Helpingstine, Terri Swift