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BOARD OF PUBLIC WORICS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/20/20�18 <br />Name Sue Ellen Doudrick <br />Department <br />Division/Bureau <br />=1 <br />Engineering <br />BPW Date 8/28 Phone Extension 5922 <br />Required Prior to Submittal to Board <br />Legal El Attorney Name. Clara McDaniels <br />Controller E] 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 El <br />H Agreement Amendment <br />F-1 Professional Services <br />EJ Bid Opening <br />F-1 Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />❑ Other: <br />LJ Contract <br />F1 Resolution <br />F] Bid Award <br />n Quote Award <br />F, <br />C/O & PCA No, <br />❑ Traffic Control. <br />I <br />Rea. to Advertise <br />10m, <br />El Title Sheet <br />Company or Vendor Name TBID <br />El Yes EJ No E] If Yes, Approved by <br />New Vendor Purchasing <br />MBENVBE Contractor [:1 MBE 0 WBE <br />MBENVBE Contractor Requested n No 0 Yes Name of Company._. <br />Project Name "Three Twenty Cascades" <br />Project Number 118-074 A, B, C <br />Funding Source River East TIF <br />Account No. 429 <br />Amount <br />Terms of Contract <br />Purpose/Description 3 Bid Packages: 1. Glazing Assemblies, 2. Exterior Insulation <br />and Finish System, and 3. Composite Wall Panel System for the <br />development at 320 E. Colfax <br />E] Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E.-Verify, Iran, etc.) <br />Required For Change Orders Qnly, <br />Amount of El increase $ <br />i <br />[] Decrease $ APPAQyo <br />Previous Amount $ and of, puhjka Worlj.� <br />Current Percent of Change: % <br />