HomeMy WebLinkAboutRequest to Advertise - RFP - Water Service Line Repair Program Request for ApplicantsBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
June 18. 2018
F05111111101
Department UtilitiesMater
BPW Date June 26, 2018 Phone Extension 6108
Required Prior to Submittal to Board
Legal x Attorney Name
Controller review is required for all Contracts $5,000.00 or more
Controller El and greater than one year in length per the City Purchasing
Policy
Purchasing x
H Agreement
0 Professional Services
Bid Opening
❑ Quote Opening
F-1 Chg Order No.
F-1 Ease./Encroach.
n Other:
Company or Vendor Name
New Vendor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension:
LJ Contract ,
n Amendment
F] Bid Award
F] Quote Award
El C/O & PCA No
El Traffic Control
x Proposal
x Req. to Advertise
PCA
❑ Resolution
Claim
Yes LJ If Yes, Approved by Purchasing
No
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El Title Sheet
El No n MBE E Completed E-Verify Form Attached F1 Yes
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Water Service Line Repair Program Re uest for Applicants
Water Works Operating Fund
620-0630-711.61-02
Per Program Rate Schedule
Advertising to accept plumbing vendors for water service line
repair as administered by Water Distribution APP111111M,
70
---- ------------ - . ..... . Dispersal After Approval . .................. X ............
Copy
Original
11
E] Kim Thompson
F-1
El Mark Horvath
R
El