HomeMy WebLinkAboutRequest to Advertise - Water Works North Pumping Station Well Replacement Project No 117-031RBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date December 28, 2019
Name Becca Plantz�
Department Public Works
Division/Bureau Engineering
BPW Date January 8, 2019 Phone Extension 5998
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Prior
to Submittal to Board
Legal ❑ Attorney Name: Clara McDaniels
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 ❑
�__._.. Check the
LJ Agreement Amendment
El Professional Services
Bid Opening
❑ Quote Opening
F-1 Change Order No.
Ease/Encroach.
Other:
111701riate Item Type — /eq�#d for All Submissions
Contract Proposal
El Resolution
❑ Bid Award ® Req. to Advertise
❑ Quote Award
n C/O & PCA No. ❑ PCA
Traffic Control:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Required Information
Addendum
❑ Title Sheet
TBD
. �- El Yes MB B [� N�If Yes„ Approved) by Purchasi
E
N No F1 Yes Name of Comoanv
Water Works North PumeincJ Station Well Replacement
117-031 R �_..._�.
Water Works Engineering_ ......
622.0640.661.31.02
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TBD
Advertise for bidding for the replacement of Well #1 at North
Station Well.
❑ Required Contractor's Certification Form Attached Non- .......................
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
_. _....__.. _ _
For CpqgOrders Only
EJ Increase $ _..
Amount of � Decrease $ � � �� _�.mm..�
0 Board of Paxtc.._
Previous Amount $
Current Percent of Change:
New Amount
Total Percent of Chanae:
Copy
Original
®
❑
Ell
0
Becca Plantz
Dispersal After