HomeMy WebLinkAboutRequest to Advertise - RFP Towing Services for Dept of Code EnforcementBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
............. .
Date 5/20/19 .............................
Department Code
Name Tracy Skibins Enforcement
BPW Date MflV 23, 2019 Phone Extension 9325
MMEHHH1
Required Prior to Submittal to Board
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BPW Attorney ❑ Attorney Name
Dept. Attorney Attorney Name Thomas E Panowicz
I�] ITmm- ....................
Purchasing
Check theAppropriate
Item Ty��.dri
EJ Professional Services Agreement n Contract
El Open Market Contract
El Amendment/Addendum
Bid Opening
Bid Award
[� Quote Opening
Quote Award
Proposal Opening
❑ C/O & PCA No.
❑ Chg. Order, No.
❑ Traffic Control
Other:
Information
Company or Vendor Name
bl- All Submissions
Proposal
F-1 Special Purchase, QPA
® Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
1-1 Ease./Encroach
New Vendor ❑ Yes❑ If Yes, Approved by Purchasing
No
MBE/WBE Contractor � MBE Completed E-Verify Form Attached F❑ Yes
No
lowing Services for the De artment of Code Enforcement
Project Name RFP Tows _................................
Project Number
Funding Source Ai i°UOVID
_....
Account No.
Amount _
Terms of Contract
Purpose/Description Z' \1 w�-
For `l i Orders Only
Increase $ ...
Amount of Decrease ....... �.... ........ .........
('
Previous Amount $
Increase /o
Current Percent of Change: Decrease
New Amount $
Increase % .................... w ..... .
�. .._.M ................ ....__......
Total Percent of Change: Decrease..._ .. %)
Time Extension Amount:
New Combletion Date: