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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW REQUEST FORM <br />Date June 18, 20118 <br />Name Roger Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />BPW Date June 26, 2018 Phone Extension 5932 <br />Legal Attorney Name. Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.00, or more, and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />H Agreement <br />Contract Ll Proposal Ll Addendum <br />Professional Services <br />El Resolution <br />Bid Opening <br />El <br />Bid Award Z Req. to Advertise Title Sheet <br />Quote Opening <br />El <br />Quote Award <br />❑ <br />Change Order No. <br />F] <br />C/O & PCA No.. F-1 PCA <br />F-1 Ease/Encroach. <br />❑ Traffic Control: <br />F] <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />El <br />I Yes Ell No If Yes, Approved by <br />Purchasing <br />[:] MBE [:] WBE <br />El No 0 Yes Name of Company <br />Miami Basin Improvements Project <br />116-082C 17JO17 & 17JO21 <br />South Side TIF <br />430.1050.460.42-01 <br />Not to Exceed <br />The project will have bids received on July 24. <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of F1 increase $ <br />El Decrease $ D <br />Previous Amount $ Board of PuWic Wf)rk_s <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Copy Original <br />n n Chris Dressel <br />n F-1 <br />El n <br />