HomeMy WebLinkAboutRequest to Advertise - North Station Well #1 Replacement Proj No 118-071BOARD OF PUBLIC WORK'S
AGENDA ITEM REVIEW REQUEST FORM
Date 14 June 2018
Name Amy Kryston
Department
Division/Bureau
Public Works
Engineering
BPW Date 26 June 2018 Phone Extension 9246
PrierR aired to Submittal to Board,
Legal Z Attorney Name: Clara McDaniels
Controller El Controller review is required for all Contracts $5,000.00, or more and
greater than one year in length per the City Purchasing Policy
Ll
Agreement Amendment
H Contract L]'Proposal 0 Addendum
F-1
Professional Services
n Resolution
❑ Bid Opening
El
Bid Award Z Req. to Advertise E] Title Sheet
❑ Quote Opening
El
Quote Award
❑
Change Order No.
n
C/O & PCA No. ❑ PCA
Ease/Encroach,
❑ Traffic Control:
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purposeffiescription
Ll Yes N No ❑ If Yes, Approved by
Purchasing
E] MBE [-] WBE
n No E] Yes Name of Company
North Station Well #1 Replacement
t5061r+ for engineer!pq_purposes: 118-0i1)....
Water Works Construction Engineering
622.0640,661.31.02
Advertise for bidding for the replacement of Well #1 at North
Station Well
El Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Amount of F1 increase $ *PFU01111)
E] Decrease $ ptddiu Works
Previous Amount $
Current Percent of Change: % 4X-2-1 18
New Amount $
Total Percent of Change: %
arealDig After Approval
Copy Original
Kyle Silveus
Amy Kryston
El
El