HomeMy WebLinkAboutRequest to Advertise - Historic Leeper Park Improvements Project No 118-010BBOARD 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
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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
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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
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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_ �................ �� ��_ ,,,,.�,.�
❑ ❑