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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 28, 2019 <br />Name Charlotte Brach...................._.....................................m..m�......... ............... Department Engineering <br />BPW Date Jul 9 2019 Phone Extension 9246 <br />II�oP4�l �I�I�JWI�IK�MOII9� i iv rP��Ii ��WI,WiWiNPoiSF,�IWAYY IMY���VM.algllNdWWWf ///�/9iAY'U AttIMW�/U 1WIViiiPWPOf& WNIMIINIWYIMIIMIOIWkW1,� <br />.W l r qi r d Prior to Submittal to Board <br />__. ... <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />Check the Appropriate Item ype --- <br />Professional Services Agreement F-1 Contract <br />Open Market Contract ❑ Amendment/Addendum <br />0 <br />Bid Opening ❑ Bid Award <br />❑ <br />Quote Opening ❑ Quote Award <br />Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />324-1050-460-42.02 <br />Base Bid <br />F.. , For Cha, Orders Onl <br />Amount of ❑ Increase $ __ <br />nDecrease_$..............................................._..�.�.......................... <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase %....... <br />Total Percent of Change: Decrease _— 0/0) <br />Time Extension Amount: <br />New Completion Date: <br />All Submissions <br />�f Proposal <br />Special Purchase, QPA <br />® Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />0 <br />X Title Sheet <br />