HomeMy WebLinkAboutRequest to Advertise - Vested Interest Building Roof Repair Project No 119-049BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date August 62 2019
........................._................._�_�
Name Charlotte Brach��_�_..............�....._—.
Department Engineering
BPW Date August 132019 Phone Extension 9246
Required Prior to Submittal to Boar . .
BPW Attorney Attorney Name
Dept. Attorney r-] Attorney Name
Purchasing
Check the A Eopa q Item T #c era
Professional Services Agreement � Contract
Open Market Contract EJ Amendment/Addendum
] Bid Opening [] Bid Award
F] Quote Opening Quote Award
Proposal Opening C/O & PCA No.
❑ Chg. Order, No. ] Traffic Control
E] 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
LJ Proposal
❑ Special Purchase, QPA
® Req. to Advertise
E] Reject Bids/Quotes
❑] PCA
Resolution
Ease./Encroach
® Title Sheet
N/A
❑] Yes ❑ If Yes, Approved by Purchasing
�] No
MBE Completed E-Verify Form Attached ❑ No
WBE
._ wRoof Repair
VestedInterest Building
.... ��.�..._...........................................-____� ��
119-049
RWDA TIF ,,,,,_..�. �........._...P_
324-1050 460-42.02
�.._........ ..........�wu �.�.....�.....
Base Bid r) ll
C] Increase $
Decrease
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase %
Decrease .................. -%
Increase _ %
Decrease ( %