HomeMy WebLinkAboutRequest to Advertise - Muessel Grove Public Restroom Project No 118-099BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/25/19
Name Alicia Czarnecki Department Engineering
.... .. _...........
BPW Date 05/14/19 Phone Extension 5903
Required Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney Attorney Name
Purchasing ❑
Check the Appropriate Item Tyl e,
H Professional Services Agreement ❑ Contract
Open Market Contract
❑ Amendment/Addendum
0' Bid Opening
❑ Bid Award
❑ Quote Opening
Quote Award
Proposal Opening
F-1
C/O & PCA No.
E]
Chg. Order, No.
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Traffic Control
F-1 Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
Information
All Submissions
Proposal
Special Purchase, QPA
® Req. to Advertise Title Sheet
❑ Reject Bids/Quotes
I-1 PCA
Resolution
Ease./Encroach
..P......�n.....................
If Yes, pprovedburchYe..____....
No
MBECompleted E-Verify Form Attached ❑ Nos
Muessel Grove Public Restroom
118-099
VPA Capital
416.0404.453.36.01
Public Restroom renovation at Muessel Grove Park to restore functionalit
and meet all a licable state and 1 deral code re uirements.
❑ Increase
Decrease
Current Percent of Change:
New Amount
For Change Orders
Increase %
Decrease ( %
Increase
Total Percent of Change: Decrease (............. %)
Time Extension Amount:
New Completion Date:
MAY