HomeMy WebLinkAboutRequest to Advertise - Community Crossings Round 2 Project No 119-065BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date October 14.2019
Name Scott
Department Public
Works
BPW Date October 22 2019 Phone Extension 9245
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.qq!jireetl Prior to Submittal to Board
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney ❑ Attorney Name
Purchasing El Michael S-W_......
chmidt
Check the AppLopfia,te Item T1 e - i
❑ Professional Services Agreement El Contract
F-1 Open Market Contract ❑ Amendment/Addendum
E] Bid Opening ❑ Bid Award
Quote Opening El 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
Information
All Submissions
❑ Proposal
E] Special Purchase, QPA
® Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
[:] PCA
❑ Resolution
O Ease./Encroach
........ ..............._ ...�6 �...................._ __. _�
Yes❑ If Yes, Approved by Purchasing
[f No
DMBE Completed E-Verify Form Attached Nos
WBE
Community Crossings Round 2
119-065
LRSA
., 25�1-0608-431.31-06....._�........_�_.........�..-..._.—...................................___ ...�............-�-....._ ,,._�.....
1" Ad: November . 8 2019
...........
2°d Ad: November 15 2019
Fay Chtie�Ord�rs Cw,it� � �':��.
_--.-.._- ❑ Increase
Amount of ❑ Decrease ($ ) _..-.e.........................-�.......... _--........��..
Previous Amount $
r.� i ; p ." i U;" 1'�7 4-
Current Percent of Change:.
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase
%
Decrease
%
Increase
/o
Decrease
(' %