HomeMy WebLinkAboutRequest to Advertise - Great Lakes Capital Spec Building Proj No 118-058BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Name
Kara Boyles/Alicia Czarnecki
Department
Engineeri
_BPW Date
08/28/2018 .
. ...... — Phone Extension
590�3
Required Prior to Submittal to Board
Legal Z
Attorney Name Clara McDaniels
Controller z
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 Z
Michael Schmidt
Check the Appropriate Item Type - Required for All Submissions
F-1 Agreement
[J Contract n Proposal El Addendum
n Professional Services
El Resolution
F-1 Bid Opening
El Bid Award Z Req. to Advertise E] Title Sheet
❑
Quote Opening
❑ Quote Award
Change Order No.
❑ C/O & PGA No. F-1 PCA
Ease/Encroach.
El Traffic Control
F1 Other: —
Reauired Information
Company or Vendor Name
New Vendor
F-1 Yes n No El If Yes, Approved by Purchasing
MBEANBE Contractor
F-1 MBE n WBE
MBENVBE Contractor Requested [:] No F-1 Yes Name of Company
Project Name
Great Lakes Capital Spec Building
Project Number
118-058 . .... .
Funding Source
RWDA TIF
Account No.
324.1050A60A2.04
Amount
Terms of Contract
Lump sum Ibase bid with alternates
Purpose/Description
M Required Contractor's Certification Form Attached (Non -
Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.
Amount of F-1 increase $
E] Decrease $
Previous Amount $e of Iota
Current Percent of Change: %
New Amount $ ¢a l2 018
Total Percent of Change: % 7:�
Dispersal After Approval"
Copy Original
1-1 F-1
F-1 El
El 0