HomeMy WebLinkAboutRequest to Advertise - Michigan Street Reconstruction Project No 118-075BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date April 12, 2019
Name Roger T. Nawrot
Department Public Works
Division/Bureau Engineering
BPW Date April 23, 2019 Phone Extension 5932
_.
R,e uired Prior to Submittal to Board
Legal ❑ Attorney Name:
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 A
H Agreement
El Professional Services
E] Bid Opening
El Quote Opening
Change Order No.
�] Ease/Encroach.
Other: Amendment No. 1
Company or Vendor Name
Nropriat Item y ae_
El Contract
El Resolution
El Bid Award
El Quote Award
�] C/O & PCA No. _
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
for All Submissions
1 Proposal
® Req. to Advertise
uired Information
❑ PCA
Addendum
® Title Sheet
❑ Yes ❑ No ❑ If Yes, Approved by
Purchasing
�] BE WBEIT-
❑ No E] Yes Name of Coman
_....... ._u _._......
Michigan Street Reconstruction
118-&5
Bids due May 14, 2019 Adv. Dates April 23 & May 3
Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of El $ r ,
❑ Decrease $ ............ _._� �..... ....i.
Previous Amount $ Q
............. . .....
Current Percent of Change: ...._ %_r
New Amount $-
Total Percent of Change:
.... _ Dis ersaI After Approval .... _ _. w::.:
......._....__
Copy Original
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