HomeMy WebLinkAboutRequest to Advertise - City-Wide Overhead Door ContractBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/14/2019
Name Adam Parsons
Department Central Services
Division/Bureau
BPW Date 10/22/2019 Phone Extension 9302
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.................. _ .. �___. f'�red Prior to Submittal to Board..........mmm w
Legal ® Attorney Name: Clara McDaniels
Controller ® Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
Check the
L Agreement Amendment
El Professional Services
❑ Bid Opening
❑ Quote Opening
Change Order No.
F1 Ease/Encroach.
F] Other:
iror All opriate
Contracm..........y[?e_—_ReWired❑fProposalLjvj�.mm_.......___m..�
Resolution
Bid Award ® Req. to Advertise
Quote Award
C/O & PCA No. ❑ PCA
Ej Traffic Control:
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Addendum
❑ Title Sheet
Company or Vendor Name TBD
❑ Yes ❑ No El If Yes, Approved by
New Vendor Purchasing mmmmmmwwwwwwww
MBE/WBE Contractor E] MBE ❑ WBE .........._..
MBE/WBE Contractor Requested No ❑ Yes .Name of Company__-
. . ................
.a.
Project Name City -Wide Overhead Door Contract
Project Number
Funding Source Department Building Maintenance Budgetsmm _..... w
Account No. Various ......._._
............ _._ .................w....
Amount TBD
Terms of Contract 2 gear initial contract; 2 year renewal
Purpose/Description Standardize city facility overhead door repairs Wunder one
co
ntractor
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Required Contractor's Certification
ui
q � Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
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In _._,.. ....._._ _�.....�.v�,...
Amountof $� �....................w, _........�.........m� .._ .
E] Decrease $
Previous Amount $ ......... -t:�.
Current Percent of Change: ........... %W
New Amount $
Total Percent of Chanee:
Dispersal After Aooroval
Copy
Original
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