HomeMy WebLinkAboutRequest to Advertise - 2018 Curb and Sidewalk Project No 118-007BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date April 17, 2018
Department Public Works
Name Tara Weigand Division/Bureau Engineering
BPW Date April 24, 2018 Phone Extension 5998
Legal F] Attorney Name:
Controller 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 ❑
H Agreement Amendment
❑ Professional Services
❑ Bid Opening
F-1 Quote Opening
El Change Order No.
R Ease/Encroach,
F] Other:
Company or Vendor Name
Contract
Resolution
Bid Award
El Quote Award
FI: C/O & PCA No.
F-1 Traffic Control:
New Vendor
MBENVBE Contractor
MBE/BE Contractor Requested
Project Name
Project Number
Funding Source
OW760M., I
0
XM
El Yes El No El If Yes, Approved by
Purchasing
0 MBE F-1 WBE
F-1 No 0 Yes Name of Company
2018 Curb and Sidewalk
118-007
MVH
F.Aro•10
Account No. 202-0619-431.31-06
Amount
Terms of Contract Unit Prices
Purpose/Description Request to Advertise for replacement Curb and Sidewalk at
various locations within the city; A3 'S'lq 1 45-10
F-1 Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
required r P,,,h' Pqr rs"'Ooly''
Amount of F-1 increase $
El Decrease $
Previous Amount $
Current Percent of Change: %
New Amount
Total Percent of Change: % W ,,-5 ,A
Dispersal After. Approval
Copy Original
F-1 Kara Boyles, City Engineer
23 El Marcia Qualls
M F-1 Tara Weigand