HomeMy WebLinkAboutRequest to Advertise - 2018 Street Paving Project No 118-070BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
29 June 2018
Department
Public Works
Name
Amy Kryston
Division/Bureau
Engineering
BPW Date
10 July 2018
Phone Extension
9246
Legal Attorney Name:
Controller Controller review is required for all Contracts $5,0:00,00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing
H Agreement Amendment
E] Professional Services
0 Bid Opening
F1 Quote Opening
El Change Order No.
El Ease/Encroach.
F-1 Other:
Company or Vendor Name
H Contract L] Proposal H Addendum
F-1 Resolution
El Bid Award Req. to Advertise El Title Sheet
F] Quote Award
F-1 C/O & PCA No. E] PCA
F-1 Traffic Control:
New Vendor
MBE/WBE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
El Yes E] No El If Yes, Approved by
Purchasing
[:] MBE [-] WBE
0 No El Yes Name of Company
118-070
2018 Street Paving
Building & Street Maintenance
202-0607-431,36-01
Request to Advertise on 13 July and 20 July, 2018
E] Required Contractor's Certification Forms Attached (Non-
Coflusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Amount of LJ
Increase $
El:
Decrease $ U*Xrd of Pah& Ivor
Previous Amount
$
Current Percent of Change: %
New Amount
$
Total Percent of Change:
%
Dispersal After Approval
Copy Original
M F-1
Sue Ellen Doudrick
M RI
Kara Boyles
z F-1
Roger Nawrot
z
Scott Kreeger
z F-1
Amy Kryston
0 El