HomeMy WebLinkAboutRequest to Advertise - 2019 Contractor Paving Project No 119-062BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date June ll,2019
Department Public
Name Scott K
Works
BPW Date June 25 2019 Phone Extension 9245
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RNR��or to Submittal to Board
BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney El Attorney Name
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Purchasing F-1 Michael Schmidt
Check the Appropriate Item Tvve -
F-1 Professional Services Agreement
Open Market Contract
Bid Opening
Quote Opening
❑ Proposal Opening
Chg. Order, No.
E] Other:
El Contract
E] Amendment/Addendum
Bid Award
Quote Award
❑ C/O & PCA No.
E] Traffic Control
B,eq�jircd Information
All Submissions
H Proposal
[:] Special Purchase, QPA
Z Req. to Advertise
E] Reject Bids/Quotes
F-1PCA
El Resolution
0 Ease./Encroach
0 Title Sheet
Company or Vendor Name
New Vendor
=YQ If Yes, Approved by Purchasing
F] No
MBE/WBE Contractor
[:] MBE Completed E-Verify Form Attached
F-1 MBE
El Yes
E] No
Project Name
2019 Contractor Pavinv
Project Number
119-062
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
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Amount of El
❑
Increase
- — - -- - --------
Decrease --o ...
Previous Amount
Increase %
Current Percent of Change:
Decrease %)
New Amount
Increase %
Total Percent of Change:
Decrease ..........
Time Extension Amount:
- - . ......
New Completion Date: