Request to Advertise - Governor Kernan Riverwalk Construction Project No 117-083A

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date November 4, 2019 Name Roger T. Nawrot Department Public Works Division/Bureau Engineering BPW Date November 12, 2019 Phone Extension 5932 fKquired Prior to Submittal to Board Legal g ❑ Attorney Name: Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Checkthe LJ Agreement El Professional Services [:1 Bid Opening ❑ Quote Opening El Change Order No. El Ease/Encroach. F-1 Other: Company or Vendor Name drr�ate Item �e ❑] Contract ❑ Resolution ❑ Bid Award EJ Quote Award C/O & PCA No. „ Traffic Control: New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description for All Submissions I Proposal ® Req. to Advertise Required Information ❑ PCA Addendum ® Title Sheet _...._............_ _. . ............... ❑ Yes Z No ❑ If Yes, Approved by �P�urchasi ........................�� _ .................�.... _ ._..... .......... .... ...w. MBE WBE N [� Yes rame -rse of atk �uct� ...� U ....w_ i 117 083A _'_: �::.� �.. .Park Bond D __....._.._... 471-1133-452.42-01 LJ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) uired For Charge Orders Only ............... wmwm .. ,_ A .. El Amount of Increase $ _mmmmmm mm w Decrease $ Previous Amount $ �_..._._........ m�m� �� i� ......m. Current Percent of Change,- �°° ................. New Amount $ Total Percent of Chanoe:. Dispersal After Awroval Copy Original F-1 El ❑ E]