HomeMy WebLinkAboutRequest to Advertise - Water Works Utility Service Line ProgramBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/7/19.....�.......
Name Kim Thompson Department Utilities
BPW Date 10/22/2019 Phone Extension 5969
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ubmittal to Board
BPW Attorney Z Attorney Name Clara McDamels
Dept. Attorney Attorney Name
Purchasing ® Michael Schmidt
Item Type
❑ Professional Services Agreement ❑ Contract
Open Market Contract
❑ Amendment/Addendum
Bid Opening
❑ Bid Award
Quote Opening
❑ Quote Award
❑ Proposal Opening
❑ C/O & PCA No.
Chg. Order, No.
❑ Traffic Control
ElOther:
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
L Proposal
El Special Purchase, QPA
® Req. to Advertise
Reject Bids/Quotes
E] PCA
Resolution
Ease./Encroach
❑ Title Sheei
...�..es❑ If Yes, Approved by Purchasing
.....................�.._____Y ❑ g. .........
Y hasin
❑ No
MBE Completed E-Verify Form Attached El Yes
BE [] No
Water O&M
620-0630-711.61-02
_Advertise for contractors to participate in Water Service Line Repair
Program
❑ Increase _$
Amount of_�__� ���-.---.-
El Decrease..mm
Previous Amount $
Increase ........m____o�o.., m.�� 'L��
Current Percent of Change: Decrease /o�22
New Amount $
Increase
Total Percent of Change: Decrease %)
.. ..
Time Extension Amount:
New Completion Date: