HomeMy WebLinkAboutRequest to Advertise - Hibberd Plaza Improvements Project No 117-063RBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 1/19/2018 Department Public Works
Name Kyle Silveus Division/Bureau Engineering
BPW Date 1/23/201,8 Phone Extension 9083
Required Prior to Submittal to Board
Legal F-1 Attorney Name: Clara McDaniels
Controller E] Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing El Michael Schmidt
Check the Appropriate Item Type — Required for All Submissions
F Agreement F-1 Contract ❑ Proposal El Addendum
❑ Professional Services ❑ Resolution
❑ Bid Opening ❑ Bid Award Z Req. to Advertise El Title Sheet
El Quote Opening El Quote Award
❑ Change Order No. F C/O & PCA No,. ❑ PCA
Ease/Encroach. F1 Traffic Control.
Other:
Company or Vendor Name
New Vendor
MBEMBE Contractor
MBEAA/BE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
uired Information
Hibberd Plaza Improvements
117-063R
324-105,0-4601-42.01
Purpose/Description Demolition and construction work at the Hibberd Building, 321 S.
Main Street
F-1 Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of F-1 increase $
n Decrease $ AP112,0VED
Previous Amount $ II of Pub]W or
Current Percent of Change: %
New Amount $ I A N 2 13 _t_
Total Percent of Change: %
Dispersal After
Copy
Original
❑
F-1