HomeMy WebLinkAboutRequest to Advertise - Gemini Washington-Colfax Masonry and Stair Repairs Project No 118-080BBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 09/4/2018
Name �e_Silveus Department Engineering
- ... . . . .. . ...... ..... . ..........
BPW Date 09/11/2018 Phone Extension 9083
Required Prior to Submittal to —Bo—ard—
Legal E] 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
Purchasing El Michael Schmidt
Check the Appropriate Item Type - Required for All Submissions ❑
R,.
[J Agreement ❑Contract 0 Proposal ElAddendurn
F-1 Professional Services F-1 Resolution
F-1 Bid Opening El Bid Award Req. to Advertise E] Title Sheet
F-1 Quote Opening R Quote Award
[:1 Change Order No. F-1 C/O & PGA No. ❑ PCA
F-1 Ease/Encroach, F] Traffic Control
❑ Other:
Required Information ❑
Company or Vendor Name TBD
New Vendor 0 YesE:1 No 0 If Yes, Approved by Purchasing
MBE/WBE Contractor F-1 MBE F WBE
MBEANBE Contractor Requested F-1 NoF-1 Yes Name of Company
Project Name Gemini Washington -Colfax Masonry,and Stair Repairs
Project Number 118-080B
Funding Source
Account No,.
Amount
Terms of Contract
Purpose/Description
West Washington TI F
422-1050-460-42.02
Mim
s
L] Required Contractor's Certification Form Attached (Non-
CoHusjon, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Pn jy
Amount of ❑ increase $
El Decrease $fXI
Previous Amount $ Of Ian
Current Percent of Change: %
New Amount
Total Percent of Chan
Copy
Original
F-1
F-1
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