HomeMy WebLinkAboutRequest to Advertise - Erskine Clubhouse Renovation Project No 116-108BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST" FORM
Date 05/15/2018
Name _K �le S�i veus Department Engineering
BPW Date 05/22/2018 Phone Extension 5601
. .. . . .....
Required Prior to Submittal to Board
Legal F-1 Attorney Name Clara McDaniels
Controller o 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 ❑ Michael Schmidt
Check the Appropriate Item Type - Required for All Submissions
El Agreement F-1 Contract Proposal El Addendum
El Professional Services F Resolution
F-1 Bid Opening F Bid Award Z Req. to Advertise El Title Sheet
F-1 Quote Opening E] Quote Award
❑ Change Order No. F C/O & PCA No. F-1 PCA
Ease/Encroach. F-1 Traffic Control
F-1 Other:
Required Information
Company or Vendor Name
TBID
New Vendor
❑ Yes [] No E] If Yes, Approved by Purchasing
MBEANBE Contractor
❑ MBE F-11 WB,E
MBENVBE Contractor Requested [:] No R Yes Name of Company
Project Name
Erskine Clubhouse Renovation
Project Number
116-108
Funding Source
SS TIF
Account No.
430-1050-460-42.02
Amount
$ TBD
Terms of Contract
Base bid with alternates
Purpose/Description
Renovation of clubhouse at Erskine Golf Course
E] Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Required For Change Orders Only
Amount of El increase $
EJ Decrease $ &P.P40vu)
Previous Amount
Jot&t
Current Percent of Change:
% MhV r) I I)MA /1
New Amount
$ V s
Total Percent of Change:
%
Dispersal After Approval
Copy Original
R F-1
F-1 El
El El