HomeMy WebLinkAboutRequest to Advertise - Governor Kernan Riverwalk Construction Project No 117-083ABOARD 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 ❑
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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
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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
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Decrease $
Previous Amount $ �_..._._........ m�m� ��� i� ......m.
Current Percent of Change,- �°° .................
New Amount $
Total Percent of Chanoe:.
Dispersal After Awroval
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