HomeMy WebLinkAboutRequest to Advertise - City Uniform, Mat and Rag BidBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9/16/2019. �._...............__...� �............
Name Michael Schmidt Department Citywide
BPW Date 9/24/19 Phone Extension 9977
ReyxiNecl Pnor to Submittal to Board
BPW Attorney ® Attorney Name McDaniels
Dept. Attorney Attorney Name
Purchasing Schmidt
Check theITAprote Item ] ymm ..1
El Professional Services Agreement Contractm
❑ Open Market Contract El Amendment/Addendum
❑ Bid Opening Bid Award
[� Quote Opening Quote Award
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 El
El
Previous Amount
Current Percent of Change:
New Amount
Information
All Submissions
❑ Proposal
❑ Special Purchase, QPA
® Req. to Advertise
Reject Bids/Quotes
❑ PCA
�] Resolution
Ease./Encroach
❑ Title Sheei
Yes❑ If Yes, Approved by Purchasing
® No
❑ MBE WBE Completed E-Verify Form Attached ❑ Nos
Re uest to Advertise City Uniform, Mat and Rag Bid
Increase %
Total Percent of Change: Decrease %
Time Extension Amount:
New Completion Date:.�.,.,ae__