HomeMy WebLinkAboutRequest to Advertise - 2019 Demolitions Phase I Project No 119-035BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date June 182019
Name Charlotte Bra ch Department Engineering
BPW Date June 25 2019 Phone Extension 9246
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Required Prior to Submittal to Board
.._.__.....
BPW Attorney El Attorney Name __..
Dept. Attorney ❑ Attorney Name
Purchasing
Check the Appropriate Item Type _...
Professional Services Agreement ❑ Contract
E] Open Market Contract
❑ Amendment/Addendum
❑ Bid Opening
❑ Bid Award
Quote Opening
❑ Quote Award
EI Proposal Opening
❑] C/O & PCA No.
❑ Chg. Order, No.
] Traffic Control
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
F1
Previous Amount
Current Percent of Change -
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Information
All Submissions
[❑ Proposal
Special Purchase, QPA
® Req. to Advertise
❑] Reject Bids/Quotes
PCA
I❑] Resolution
Ease./Encroach
N/A
............
....Ye.............................................w w
s If Yes, Approved by Purchasing
�] No
❑ MBE Completed E-Verify Form Attached
[� WBE
2019 Demolitions, Phase I
119-035
N/A
Base Bid
❑ Title Sheet
[� Yes
No
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For
Increase $
Decrease ($
Increase
Decrease
Increase
Decrease
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