HomeMy WebLinkAboutRequest to Advertise - Privet Lane Culvert Replacement Project No 118-013BBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/15/2019..�.. .....�
Name Becca Plantz
Department Public
Works
BPW Date 10/22/19 Phone Extension 5998
M
mired Prior to Submittal to Board
_._......... _ _..... .._.. �.......__ ................... ...._...............
_.
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney El Attorney Name
Purchasing ❑
Check the Anorovt at Item Tvin -
H Professional Services Agreement H Contract
❑
Open Market Contract
❑ Amendment/Addendum
❑
Bid Opening
❑ Bid Award
Quote Opening
❑ Quote Award
0
Proposal Opening
❑ C/O & PCA No.
E,
Chg. Order, No.
❑ Traffic Control
R Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
All Submissions
LJ Proposal
❑ Special Purchase, QPA
® Req. to Advertise
Reject Bids/Quotes
[] PCA
F ] Resolution
Ease./Encroach
❑ Title Sheet
e ...........
_._.......
El Yes ❑IfYes Approved b Purchasng [� j No
E] MBE
WBE Completed E-Verify Form Attached EJ Nos
Privet Lane Culvert Replacement Projwect
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LRSA Major Projects
251-00608-431.42-96
Unit Price
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rders _ly
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Amount of Increase $ ........ _.... � "
❑ Decrease ............. .....w.w"�� i
Previous Amount S
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
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Increase /o
Decrease %
Increase %
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