HomeMy WebLinkAboutRequest to Advertise - Main St. Wayne St. Garage Improvements Project No 118-096RBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date January 2, 2018
Name Department
,�11�sil_veus 'ng� JL
BPW Date Janua '2019 Phone Extension 9083
.._ � .._�R wired Prior to Submittal to Board ._.
g Attorney Name
Controller D Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing 0
(;heck the
LJ Agreement
El Professional Services
E] Bid Opening
El Quote Opening
F] Change order No.
El Ease/Encroach.
7 Other:
)ropriate ltem
0 Contract . ....
F Resolution
El Bid Award
F1 Quote Award
El C/O & PCA No,
F1 Traffic Control
Company or Vendor Name TBD
for All Submissions
f —Pr"6p —os a I ddendum
N Req. to Advertise N Title Sheet
ired Information
F PCA
New Vendor E Yes 0 No E] If Yes, .. Approved by Purchasing
MBE/WBE Contractor F1 MBEEI WBE
Project Name Main St./Wayne St. Garage Irnpr vernents
Project Number 118-09 6R
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
RWDA
324-1050-460-42.02
Base Bid Plus Alternates
Roof and other Misc. Repairs to the Existing Parking —Garage' Towers
..... . ers",'
Canopy, and Facade
[:1 Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non Debarment, E-Verify, Iran, etc.)
Required For Chanqe Orders OnIv
Amount of El Decease increase $
F� ease
Previous Amount
Current Percent of Change: %
New Amount
Total Percent of Change:
Copy
Original
E]
F-1
El
❑
El
F-1
DisPyI
...ersal After Approval