HomeMy WebLinkAboutRequest to Advertise - Liberty Tower Exterior Renovations Project No 118-068ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9/4/2 0 18 Department Public Works
.... . .. ....
Name Kyle Silveus Division/Bureau Engineering
BPS' Date 9/11/2018 Phone Extension 9083
Reguired Prior to Submittal to Board
Legal F-1 Attorney Name: Clara McDaniels
Controller ❑ 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 F-1 Michael Schmidt
Check the Appr)priate Item Type - Required for All Submissions ❑
F1 Agreement n Contract El Proposal El Addendum
El Professional Services n Resolution
F-1 Bid Opening ❑I Bid Award ❑ Req. to Advertise Z Title Sheet
n Quote Opening F-1 Quote Award
F-1 Change Order No. El C/O & PCA No. ❑ PCA
El Ease/Encroach. F-I'Traffic Control:
F] Other:
Company or Vendor Name
New Vendor
MBEANBE Contractor
MBEANBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
ired Information
TBD
F] Yes [:] No E] If Yes, Approved by Purchasin
El MBE [:1 WBE
El No 0 Yes Name of Comp
any
Liberty Tower Exterior Renovations
11 8-086A
RWDA TI F
. . 324-1050-460-42-02 . . ...........
TBD
Terms of Contract 'TBD
Purpose/Descri'ption Base Bid Plus Alternates
F-1 Required Contractor's Certification Forms Attached (Non-
Coflusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
F_ Required For Change Orders Only
Amount of increase $
D Decrease
Previous Amount
Current Percent of Change
New Amount
Total Percent of Chanae:
Copy
Original
F-1
F
F-1
F1
El
F
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Dispersal After ADr)roval