HomeMy WebLinkAboutRequest to Advertise - Small Drainage Design and Repair Overlook Court & Sampson St - Project No 118-063ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/15/2019
Department
Name Sue Ellen Doudrick Engineering
BPW Date 10/22/2019 Phone Extension 5922
._........__� w.w t1qiredITPrior to Submittal to Board
BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney -] Attorney Name
Purchasing
Check the Ap
Professional Services Agreement
F-j Open Market Contract
n Bid Opening
El Quote Opening
Proposal Opening
❑ Chg. Order, No.
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
4e Itemjype
Contract
❑ Amendment/Addendum
❑ Bid Award
El Quote Award
C/O & PCA No.
❑ Traffic Control
All Submissions
❑ Proposal
❑ Special Purchase, QPA
® Req. to Advertise ® Title Sheet
Reject Bids/Quotes
PCA
Resolution
Ease./Encroach
.............._..... _...............
Yes ❑ If Yes, Approved by Purchasing
�j No
MBE ❑ WBE Completed E-Verify Form Attached Nos
Small Drainage Design and Repair Overlook Court & Sampson Street
118-063A"
Storm Sewer Fund
667-0621-792-4204
Unit prices
Storm sewer co ....�....�...�........�� ��....... nstruction along Sampson Street and Overlook Court to routf
to existing Ireland Rd Basin southwest of Overlook Court.
For Change Orders Only
Amount of Increase $ --
Decrease $ ,`
�..........__ _..�_ --- .----------- --.
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New t ",oin letlon Date:
Increase %
Decrease (' %
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Decrease ( %