Request to Advertise - Historic Leeper Park Improvements Project No 118-010B

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 9/17/19 Name Kyle Silveusmmm m Department Engineering BPW Date 9/24/19 Phone Extension 9083 ea�wwiNNi � irmww�!W!uwuwwwwuwwwww�wwawm n� mmmmmm�wmunumnaawr m mmmmmmiwuuuuu�uwm,rnwwwww�e Required Prior to Submittal to Board Legal ❑ Attorney Name Clara McDaniels 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 El Michael Schmidt ....... Check the Agreement ❑ Professional Services Bid Opening EJ Quote Opening Change Order No. E Ease/Encroach. 0 Other: irate Item mTyp!q — e El Contract Resolution El Bid Award El Quote Award ❑ C/O & PCA No. ❑ Traffic Control Company or Vendor Name N/A. for All Sint Proposal ® Req. to Advertise ired Information ❑ PCA Addendum ❑ Title Sheet New Vendor E, Yes ❑ No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company p .._.P Project Name Historic Leeper Park Improvements — Bid Packa e 2mmmmmm__mm ..��_�...._ Project Number 118 010 Funding Source RW TIF Bond _ Account No. �.....452-1�.101-452-31.02�.............�WWW�_...._.............._.........� ............_�..........� ..��_....._ 1 .01- Amount N/A plus Alternates Terms of Contract ..Base Bidtea ........._.�a .... .......��.�.�......................................��.w ___� ...m............__ Purpose/Description ❑ Required Contractor's Certification Form Attached (Non- Collusign Non -Discrimination, Non -Debarment E-Veri ,Iran, etc Rewired For Chaff Orders mnN El crease Amount of ❑ Decrease $ Previous Amount Current Percent of Change: % New Amount Total Percent of Change: % r ....... _ Dispersal..... � �.... ..... .... �.. p After Approval Copy Original ® ❑ Kyle Silveus ® ❑ Patrick Sherman ...._ ...�.._Y_ �................ �� _ ,,,,.�,.� ❑ ❑