HomeMy WebLinkAboutRequest to Advertise - Ductile Iron Pipe, Valves and Hydrants Project No 119-034BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date April 22019,
Department Public
Name Scott Kreeger Works
...........
BPW Date A ri19 2019 Phone Extension 9245
M
I uir Prior to Submittal to Board
BPW Attorney ❑' Attorney Name �C."late McDa�riel
Dept. Attorney [l Attorney Name
.......
Purchasing M Michael Schmidt
Item Twe
LJ Professional Services Agreement ❑ Contract
❑ Open Market Contract ❑ Amendment/Addendum
Bid Opening ❑ Bid Award
❑ Quote Opening El Quote Award
❑ Proposal Opening [] C/O & PCA No.
[1 Chg. Order, No. Traffic Control
n Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Information
Proposal
❑ Special Purchase, QPA
® Req. to Advertise ❑ Title Sheet
Reject Bids/Quotes
E] PCA
Resolution
Ease./Encroach
s If Yes A roved b Purchas � - ❑ ❑ Pp Y ing -----
No —
❑ MBE Completed E-Verify Form Attached ❑ Yes
❑ WBE ❑ No
DIP + Valves +Hydrants Material Bid
119-034 ..�.. .......
Water Works Operations
620-0640-606.23.62
Purpose/Description R
..... _ �... ..... . ... __ _.....
oast to Advertise for du�aile iron i e valves and h drants for Ghc wata
works department. lst Advertisement on April 19 2019.and 2nd Adv rtiserne
on April 26, 2019
Amount of Increase $
nf-
Decrease $ __ I� � °n-
.. _ ...... ....... _
Previous Amount
Increase
Current Percent of Change: Decrease
New Amount $ „
_..M....�_ _ ......
Increase %
........ _ _...
Total Percent of Change: Decrease
Time Extension Amount:
New Completion Date: