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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/3/19 <br />Department Public <br />Name Bccca Pla.wt: Works <br />BPW Date 9/10/19 Phone Extension 5998 <br />mum uuuuuuuuuuuuuumumuuwwwmuww wmxrmmm mm w mom , <br />...._....................-_ _......_..... <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney n Attorney Name <br />Purchasing <br />Check the Appropriate Item l'yp ._-. <br />Professional Services Agreement Contract <br />[❑ Open Market Contract <br />F-1 <br />Amendment/Addendum <br />❑ Bid Opening <br />n <br />Bid Award <br />❑ Quote Opening <br />El <br />Quote Award <br />Proposal Opening <br />n <br />C/O & PCA No. <br />Chg. Order, No. <br />❑ <br />Traffic Control <br />R Other: <br />Required Information <br />All Submissions <br />L_J Proposal <br />❑ Special Purchase, QPA <br />® Req. to Advertise <br />❑ Reject Bids/Quotes <br />F] PCA <br />(] Resolution <br />Ease./Encroach <br />® Title Sheet <br />Company or Vendor Name <br />—,_ Yes If Yes Approved b .�................_.._ � .....�_.......... _� <br />New Vendor ❑ pp y Purchasing <br />No <br />MBE/WBE Contractor E WBE Completed E-Verify Form Attached ❑ Nos <br />.... <br />Project Name <br />Century Center Elevator Renovations <br />Project Number 118-104D <br />Funding Source Hotel Motel Tax Fund 2019..................._................................�.�.�.�...�.�....._.........- <br />_......................_........................�.�.�.�.�.�.�............. <br />Account No. 7304.42010.000.0099 <br />Amount <br />Terms of Contract .. Lump Sum _ <br />Purpose/Description _U ades and renovations to the north passenger elevator in ....... ......� <br />Upgrades p g the Century <br />Center. <br />