HomeMy WebLinkAboutRequest to Advertise - Three Twenty at the Cascade - Site Utilities - Project No 118-074DI - W11 -
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
10102/18
Sue Ellen Doud'rick
Department
Division/Bureau
Public Works
Engineering
BPW Date 10109/18 Phone Extension 5992
Required Prior to Submittal to Board
Legal El 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 F1 Michael Schmidt
Check the Appropriate Item Type — Reequired forAll Submissions
F-1 Agreement Amendment [:] Contract ❑ Proposal El Addendum
F1 Professional Services F-1 Resolution
Q Bid Opening ❑ Bid Award Req. to Advertise Title Sheet
El Quote Opening ❑ Quote Award
❑ Change Order No. ❑ C/O & PCA No.. E] PCA
❑ Ease/Encroach, ❑ Traffic Control:
F1 Other-
Reauired Information
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
0 Yes [:1 No F-1 If Yes, Approved by
Purchasing_
[:1 MBE [] WBE
F-1 No El Yes Name of Company
"Three Twenty Cascades"- Site Utilities
I § R] Elyz I W,
Funding Source River East TIF
Account No. 429
Amount
Terms of Contract Unit Prices
Purpose/Description Construction of site utilities at Three Twenty at the Cascade
F Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.,)
Required For Change Orders Only
Amount of ❑ increase $
Decrease $
Previous Amount $ 0MOVED
Current Percent of Change: % tcworm
New Amount $
Total Percent of Change: %
Dispersal After Approval —
Copy Original
F] F-1
F-1 F-1
1-1 El