HomeMy WebLinkAboutRequest to Advertise - Sale of City Owned Property - 1510-1512 Ford StreetBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date April 2, 2019 Department DCI
Name Andrew Netter Division/Bureau Planning
BPW Date X 11Z019 Phone Extension 5931
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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
L Agreement Amendment
El Professional Services
❑ Bid Opening
❑ Quote Opening
Ell Change Order No.
Ease/Encroach.
F] Other:
Company or Vendor Name
r ❑for All Submissions
El � Contracm ype—equ�red Proposal
❑ Resolution
0 Bid Award X Req. to Advertise
❑] Quote Award
El C/O & PCA No. ❑ PCA
0 Traffic Control:
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
❑ Yes ❑ No�,................................................._»� ❑ If Yes, �..,_........................................�.�.......��..
Approved b
Purchasina
MBE H WBE
No n Yes Name of Com a
X 11 15to + tSi Ferrol
S "• ,
LJ Required C6ntractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
....„�_ _ squired For Change Orders Only
El
Increase $ �-_..t � �•; . ter. �
.......
Amount of �
Decrease .....
Previous Amount
Current Percent of Change
New Amount
Total Percent of Chanoe:
Copy
Original
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Andrew Netter
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