HomeMy WebLinkAboutRequest to Advertise - Riverwalk from Beyer St to ND Boathouse - Project No 117-083ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date May 15, 201�
Name Roger Nawra
Department
Division/Bureau
MESM
Engineering
BPW Date May 22, 2018 Phone Extension 5932
Required Prior to Submittal to Board
Legal Attorney Name: Clara McDani6ls
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 0
Check the Appropriate Item Type - Required for All Submissions
El Agreement El Contract R Proposal ❑—Addendum
F1 Professional Services F-1 Resolution
F-1 Bid Opening n Bid Award N Req. to Advertise D'Title Sheet
F-1 Quote Opening F] Quote Award
n Change Order No. [:1 C/O & PCA No. ❑ PCA
El Ease/Encroach. F1 Traffic Control:
F-1 Other-,
Company or Vendor Name
New Vendor
MBEA/\1BE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
uired Information
n Yes EJ No El If Yes, Approved by
Purchasing
[:1 MBE F-1 WBE
n No El Yes Name of Company
Rive,rwalk from Beyer Street to ND Boathouse
1 1'7-083A
Milo 9
Not to Exceed
H Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
I Required For Change Orders Only I
Amount of H Increase $
F] Decrease $ AP.RO 1D
Previous Amount $ Board of Pa tip Works
Current Percent of Change: elm
New Amount $
Total Percent of Change: % T.
i A -
Dispersal After Armroval
Copy
Original
❑
F1
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