HomeMy WebLinkAboutRequest to Advertise - Gemini at Colfax Exterior Renovations Project 119-018BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date
Name
11 /5/2019
Silveus
Department Engineering
BPW Date 11/12/2019 Phone Extension 9083
uired;Prior to. Suornittal to Board
Legal EJ Attorney Name Clara McDaniels
Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc
greater than one year in length per the City Purchasing Policy
Purchasing
H Agreement
E] Professional Services
❑ Bid Opening
El Quote Opening
Change Order No. _
Ease/Encroach.
Other:
❑ Michael Schmidt
L J Contract
F] Resolution
❑ Bid Award
Quote Award
❑' C/O & PCA No.
❑ Traffic Control
Proposal
® Req. to Advertise
❑ PCA
Company or Vendor Name TBD
New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing
MBENVBE Contractor ❑ MBE ❑ WBE
MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company
Project Name
Gemini at Colfax Exterior Renovations
Project Number
119-103
Funding Source
�_ ......_ ............ ....
Account No..........
-
Amount
$ TBD _....
Terms of Contract
._ ........ ................
Base bid
Purpose/Description
Mason Stai ''
'r and Roof Re airs of the Colfax Builc
Addendum
® Title Sheet
LJ Required Contractor's Certification Form Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.
Amount of Increase $
�] Decrease $
Previous Amount $
Current Percent of Change:
New Amount $
Total Percent of Change:
Dispersal After Approval
Copy
Original
C]
❑
EJ
❑