HomeMy WebLinkAboutRequest to Advertise - Downtown Cross Streets Improvements Phase I - Project No 117-041ABOARD OF PUBLIC WORI(S
AGENDA ITEM REVIEW REQUEST FORM
Date March 2, 2018 Department Public Works
Name Roger T. Nawrot Division/Bureau Engineering
_BPW Date March 13, 2018 Phone Extension 5932
Required Prior to Submittal to Board
Legal Z Attorney Name: Clara McDaniels
Controller z 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 Z Michael Schmidt
Check the Appropriate Item Type — Required forAll Submissions
❑ Agreement 0: Contract El Proposal El Addendum
F-1 Professional Services F-1 Resolution
n Bid Opening n Bid Award Z Req. to Advertise )m Title Sheet
El Quote Opening F-1 Quote Award
F-1 Change Order No. El C/O & PCA No. ❑ PCA
n Ease/Encroach. El Traffic Control:
F-1 Other:
Company or Vendor Name
New Vendor
MBEANBE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
ui red' Information
El Yes 0 No ❑ If Yes, Approved by
Purchasing
E] MBE E] WBE
El No 0 Yes Name of Company
Downtown Cross Streets Improvements Phase I
117-nAlA
Bids will be received on April 10, 2018.
E] Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of El increase $
El Decrease
P'revious Amount $
Current Percent of Change: % MAP I q
New Amount
Total Percent of Change: %
Disr)ersal After Aonroval
py
Original
El
11
F-1
F1
F1
El