HomeMy WebLinkAboutRequest to Advertise - Main St and Wayne St Garage Improvements Project No 119-066BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date August 20, 2019
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Name Kyle Silveus Department Entneerin
BPW Date August 27, 2019 Phone Extension 9083
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Required, Prior to Submittal to Board
Legal E] Attorney Name
Controller Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing 1:1
__._. Check th
F-1 Agreement
F� Professional Services
❑ Bid Opening
❑ Quote Opening
F-1' Change Order No.
Ease/Encroach.
❑ Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
" Contract
[l Resolution
El Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
)r All Submissions
Proposal Addendum
® Req. to Advertise ® Title Sheet
❑ PCA
Yes ❑ No ❑ If Yes, Approved by Purchasing
[:] MBE ❑ WBE
mMain St. & Wayne St Garage ImprovementsRWDA
119-066
324-1050-460-42.02........v..�y.._.........................�.�.�......................
............................�...._...........-... �.
BD
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p Alternates Base Bid lus Alternm to... �_�__........................
Repairs to the Existing Parking Garage
❑ Required Contractor's Certification Form Attached (Non -
Collusion„ Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Amount of ❑ Increase $ �..
❑ Decrease $...
Previous Amount $.
Current Percent of Change;_ %'
New Amount
Total Percent of Change:
Dispersal After Approval w.
Copy Original