HomeMy WebLinkAboutRequest to Advertise - 2018 Demolitions Project No 118-307BOARD OF PUBLIC WOR1,,S
AGENDA ITEM REVIEW REQUEST FORM
Date 10/15/2018
Department Public Works
Name Hana Parkhill
Division/Bureau Engineering
BPW Date 10/23/2018
Phone Extension 5961
Required Prior to Submittal to Board
Legal r_1
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 1:1
Check the Appropriate
Item Type - Required forAH Submissions
❑ Agreement Amendment
n Contract El Proposal El Addendum
❑ Professional Services
n Resolution
n Bid Opening
E:1 Bid Award Req. to Advertise F-1 Title Sheet
❑ Quote Opening
F-1 Quote Award
❑ Change Order No.
El C/O & PCA No. El PCA
F-1 Ease/Encroach.
El Traffic Control:
R Other: General Release
Company or Vendor Name
TBD
F1 Yes R No F1 If Yes, Approved by
New Vendor
Purchasing
MBE/WBE Contractor
F1 MBE El WBE
MBE/WBE Contractor Requested
F-1 No 0 Yes Name of Comparly
Project Name
2018 Demolitions
Project Number
118-307
Funding Source
C.01T
Account No.
404-1201-415-39-87
Amount
Terms of Contract
Purpose/Description
Work includes the demolition of Vacant and Abandoned Homes.
0 Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc,)
Amount of [:] increase $
F-1 Decrease $ AVVr191vv4!*
. I - � V
Previous Amount 13,aurd I)f
Current Percent of Change: %
New Amount �Olel 4
Total Percent of Change: %
Dispersal After Approval
Copy Original
M n Kara Boyles, City Engineer
H Fj Tracy Skibins
F-1 Toy Villa