HomeMy WebLinkAboutRequest to Advertise - Fat Daddy's Building Demolition Proj No 118-0663-M
Kyle Silveus
6/26/2018
BOARD OF PUBLIC WORKS
AGENDA ITEM RE VIEW REQUEST FORM
Department
INA4_6401,0400r.
Phone Extension
Public Works
EMMM
M.,
Required Prior to Submittal to Board
Legal El Attorney Name: Clara McDaniels
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 El Michael Schmidt
Check the Appropriate Item Type — Required for All Submissions
F-1 Agreement El Contract 0 Proposal El Addendum
❑ Professional Services El Resolution
❑ Bid Opening El Bid Award Z Req. to Advertise El Title Sheet
❑ Quote Opening n Quote Award
❑ Change Order No. F-1 c/o & PCA No. ❑ PCA
❑ Ease/Encroach. El Traffic Control:
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Required Information
N/A
Fat Daddy's Building Demolition
118-066
River West TIF
324-1050-460-39.82
N/A
Demolition of the existing Fat Daddy's Building
F] Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, ]ran, etc.)
Amount of increase $❑ ft" of PaWW Works
Decrease ----$,-
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
NSDersal After Aooroval
Copy
Original
F
F
El
1:1
El
El