HomeMy WebLinkAboutRequest to Advertise - Main and Wayne St Parking Garage Roof Repair Project No 118-096ADate
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
October 15, 2018
le Silveus
Department Engineering Incernng__
BPW Date October 23, 2018 Phone Extension 9083
Required Prior to Submittal to Board
Legal F-1 Attorney Name
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 11
Check the Appropriate Item Tvnp — Pon ired forAll Submissions
El:Agreement F Contract EProposal EAddendum
E] Professional Services F1 Resolution
0 Bid Opening El Bid Award Z Req. to Advertise Z Title Sheet
F1 Quote Opening El Quote Award
F Change Order No. F C/O & PCA No. ❑ P CA
F1 Ease/Encroach. ❑ Traffic Control
Othe:
Reauired Information
Company or Vendor Name
New Vendor
MBENVBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
TBD
El Yes El No El If Yes, Approved by Purchasing
F-IMBE E] WBE
Wayne St. Markin V, Garage Roof Replacement
118-096A
RWDA
324-1050-46042.02
$ TBD
Terms of Contract Base Bid plus Alternates
Purpose/Description Roof Repairs to the Existing Parking Garage Towers and Canopy
F-1 Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Required For Change Orders Only
Amount of F] increase $
[] Decrease
Previous Amount
Current Percent of Change: % ❑M a ✓
New Amount $
Total Percent of Change:
Dispersal After Approval
Copy
Origina
FI
F1
1:1
F-1
E]
El