HomeMy WebLinkAboutRequest to Advertise - Pinhook Park Site Improvements Project No 118-077ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/10/19
Name Alicia Czarnecki Department Engineering
BPW Date 10/22/19 Phone Extension 5903
M MM
BPW Attorney ❑ Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing
I Professional Services Agreement L Contract
El Open Market Contract ❑ Amendment/Addendum
El Bid Opening
❑ Bid Award
❑ Quote Opening
❑ Quote Award
❑ Proposal Opening
❑ C/O & PCA No.
EJ Chg. Order, No.
F-1 Traffic Control
F-1 Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
LJ Proposal
❑ Special Purchase, QPA
® Req. to Advertise ® Title Sheet
Reject Bids/Quotes
PCA
El Resolution
Ease./Encroach
YesU If Yes, Approved by Purchasing
No
MBE Completed E-Verify Form Attached ❑ Yes
WBE ❑ No
Pinhook Park Site Improvements
118-077A
VPA Capital
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416.0404.453.36.01
Construction of site improvements at Pinhook Park.
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Previous Amount $
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Current Percent of Change: Decrease %
New Amount $ ...
Increase % m°
Total Percent of Change: Decrease ( /o...
Time Extension Amount:
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New Completion Date: