HomeMy WebLinkAboutRequest to Advertise - VPA Maintenance Storage BuildingBOARD OF PUBLIC WOR1,CS
AGENDA ITS RE VIEW RE, 'QUEST FORM
Date 05/15/2018
Name Patrick Sherman/Alicia Czarnecki Department Engineering
BPW Date 05/22/2018 Phone Extension
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 ❑ Michael Schmidt
Check the Appropriate Item Type — Required forAll Submissions
[:1 Agreement F-1 Contract El Proposal ❑ Addendum
F-1 Professional Services F-1 Resolution
0 Bid Opening El Bid Award Req. to Advertise ❑ Title Sheet
F-1 Quote Opening F-1 Quote Award
F-1 Change Order No. F-1 C/O & PCA No. F-1 PCA
F] Ease/Encroach. ❑ Traffic Control
F-1 Other:
red Information
Company or Vendor Name TBID
New Vendor El YesEl No E] If Yes, Approved by Purchasing
MBE/BE Contractor ❑ MBE F WBE
MBENVBE Contractor Requested [:1 No F Yes Name of Company
Project Name VPA Maintenance Storage Building
Project Number 1062-21018
Funding Source Park Bond Series I
Account No. 471-1138-452.42-01
Amount $ TBD
Terms of Contract Lump sum base bid with alternates
Purpose/Description Storage building extension at Maintenance Division Campus
M Required Contractor's Certification Dorm Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of F-1 increase $
El Decrease $ Ad?1%W
Previous Amount $
Current Percent of Change: % MOM
New Amount $ MAY � e) 2 n i iix
Total Percent of Change: %
Dispersal After Approval
Copy
Original
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