HomeMy WebLinkAboutRequest to Advertise - 2018 Streets and Sewer Dept Materials Proj No 118-031BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date March 5, 2018
Name Scott Kreeger
Department
Division/Bureau
Public Works
Engineering
B,PW Date March '13, 2018 Phone Extension 9245
Required Prior to Submittal to Board
Legal Attorney Name: Clara McDaniels,
Controller El Controller review is required for all Contracts $5,000.00 or more and
greater than one year in Ilength per the City Purchasing Policy
Purchasing 1:1
Check the Appropriate Item Type — Required forAH Submissions
Agreement Amendment R Contract El Proposal E] Addendum
F-1 Professional Services R Resolution
R Bid Opening El Bid Award Req. to Advertise El Title Sheet
R Quote Opening El Quote Award
El Change Order No. FIC/O & PCA No. 0 PCA
E] Ease/Encroach. R Traffic Control:
El Other:
Required Information
Company or Vendor Name
New Vendor
MBEANBE Contractor
MBENVBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
10hy-ME101 JUSITZ-0 0 mf
2018 Streets and Sewers Department Materials
118-031
Streets, Curb & Sidewalk, Sewer Concrete, Sewer Ins, Water Works,
Parks
202-0607-431.22-24, .22-30,.22-40, .23-02, 23-03, 23-20, 23-40, .39-
89, 641-0621-792.22-24, .23-02, .23-03, .23-04, 202-0619-431,23-03,
.23-2,4, 641-0625-792,22-24, .23-04, 640-0620-811.22-24, .23-04,
620-0640-61016.23-30, 201-1101-452.39-89 (Proi. Code K61 RMT)
Unit Price
Purchase of materials for Street and Sewer Departments
" Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
all L UOV=
El Increase $
Amount of [] Decrease $
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change;
Copy
Original
N
El
H
F]
E
El
E11
Kara Boyles,
Roger Nawrot
Derick Roberts
DisDersal After Ar)r)roval