HomeMy WebLinkAboutRequest to Advertise - Drewery's Brewery Cleanup Project No 119-031ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
3/29/19
le Silveus
Department Enineerin�
BPW Date 4/9/19 Phone Extension 9083
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,R�tquired Prior to Submittal to Board
.... .._.......
Legal Attorney Name Clara McDaniels
Controller 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 ❑ Michael Schmidt
Check the
Agreement
Professional Services
❑ Bid Opening
❑ Quote Opening
I1 Change Order No.
Ease/Encroach.
El Other_
Company or Vendor Name
�ropr±ate Item 'Type -..
❑ Contract
❑ Resolution
El Bid Award
R Quote Award
ElC/O &PCANo.
_
R Traffic Control
for All Submissions
Proposal Addendum
® Req. to Advertise ❑ Title Sheet
red Information
❑ PCA
New Vendor ❑ Yes El No 0 If Yes, Approved by Purchasing
MBENVBE Contractor ❑ MBE WBE
MBEM/BE Contractor Requested ❑ No ❑ Yes Name of Company
Project Name Drewery's Brewery Cleanup
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Project Number 119-031A
Funding Source RWDA, Consolidated Building Fund...........
Account No. 324-1050-460-39.82
Amount $ N/A
Terms of Contract
Purpose/Description
❑ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
R d For Change Orders,p, l
Amount of
Increase $
Decrease $
Previous Amount $
_..._. _.�........ ..... �r.
Current Percent of Change: % � ��•�_
New Amount
... _
Total Percent of Change: %
Copy Original .
Dispersal After Approve ❑
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