HomeMy WebLinkAboutRequest to Advertise - Berlin Place Site Concrete, Landscape Plantings, and Roof Pavers - Project NO. 118-057BOA1),D OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
11MI&M-91M
KAe Silveus
Department Engineering
BPW Date 05/22/2018 Phone Extension 5601
Required Prior to Submittal to Board 7�
Legal F-1 Attorney Name Clara McDaniels
Controller El 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
F1 Agreement F-1 Contract El Proposal El Addendum
F-1 Professional Services F-1 Resolution
Bid Opening El Bid Award Z Req. to Advertise El Title Sheet
Quote Opening El Quote Award
El Change Order No. ❑ C/O & PCA No. ❑ PCA
R Ease/Encroach. ❑ Traffic Control
El Other:
Required Information
Company or Vendor Name TBD
New Vendor El YesEl No F-1 If Yes, Approved by Purchasing
MBENVBE Contractor F-1 MBE F-1 WBE
MBEANBE Contractor Requested F-1 No F] Yes Name of Company
Berlin Place - Site Concrete, Landscape Plantings, and Roof
Project Name Pavers
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
11
118-057
RW TI F Bond
17JO07
$ TBD
Base bid with alternates
Site concrete Ilandscape plantings, and Bldg. 4 rooftop pavers for
the new Berlin Place development.
F-1 Required Contractor's Certification Form, Attached (Non
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran,
Required For Chanqe Orders Only
Increase $
Decrease $ APPROVED
[Dr,=%An"o Amount t uskru of V 11c Works
Current Percent of Change
New Amount
Total Percent of Change:
Copy
Original
F-1
1:1
❑
F-1
El
El