HomeMy WebLinkAboutRequest to Advertise - Century Center Lower North Restroom Repair Project No 118-082ABOARD OF PUBLIC WORKS
AGENDA ITEM REA VIEW REQUEST FORM
Date October 16, 2018
Name Roger, Nawrot
Department
Division/Bureau
Public Works
Engineering
BPS/ Date October 23, 2018 Phone Extension 5932
Re uired Prior to Submittal to Board
Legal Z Attorney Name-, Clara McDaniels
Controller z 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 z
Check the Appropriate Item Type - Required for Al! Submissions
F-1 Agreement F] Contract El Proposal 0 Addendum
F] Professional Services [:] Resolution
Bid Opening F-11 Bid Award Z Req. to Advertise Z Title Sheet
Quote Opening F-1 Quote Award
F-1 Change Order No. n C/O & PCA No. PCA
F-1 Ease/Encroach. n Traffic Control:
F1 Other:
Required Information
Company or Vendor Name
El Yes E] No El If Yes, Approved by
New Vendor Purchasing
MBEANBE Contractor M MBE E] WBE
MBEANBE Contractor Requested [:] No D Yes Name of Company
Project Name Century Center Lower North RestrooTs_�Re air
Project Number 118082A
Funding Source
Account No.
Amount,
Terms of Contract
Purpose/Description
Liability Insurance
226-0419-,672.43-02 Code cc2018
To be advertised on November 9 and 16 with the bid opening on
November 27.
E] Required Contractor's Certification Forms Attached (None
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of Fj increase $
E] Decrease $
Previous Amount 13oard $
Current Percent of Change
New Amount
T
I'll, /'"J n' otal Percent of Change: % ;r_ T1 IL
I Dispersal After Approval
Copy
Original
F�
M
F
F-1
El
El
Chris Dressel