HomeMy WebLinkAboutRequest to Advertise - Eagle Way Sewer Extension – Proj No. 119-095BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 2/3/20
Department
Name Kyle Silveusmmw En ineerin
BPW Date 2/11/20 Phone Extension 9083
_ ..
Review and A�vroval 'alit-e€ Prior to Submittal to Board
Diversity Compliance ❑
and Inclusion Officer Officer Name
BPW Attorney ZAttorney Name Clara McDaniels
Dept. Attorney E] Attorney Name
.................................
Purchasing
Check the Ap topt iatiW Item 1" --tic
E] Professional Services Agreement E Contract
Open Market Contract ❑ Amendment/Addendum
�j Bid Opening ❑ Bid Award
❑ Quote Opening El Quote Award
Proposal Opening R C/O & PCA No.
[] Chg. Order, No. E] Traffic Control
F Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No..
Amount
Terms of Contract
Purpose/Description
Information
All Submissions
H Proposal
❑ Special Purchase, QPA
® Req. to Advertise
E] Reject Bids/Quotes
PCA
Resolution
Ease./Encroach
® Title Sheel
N/A
YesF� If Yes, Approved by Purchasing .._ ....................................
❑ No
❑ MBE Completed E-Verify Form Attached ❑ Yes
❑ WBE ❑ No
Eagle Way Sewer Extension
119-095
_.._.�..................
RWDA TIF
324-1050-460-31.02
N/A
Extension of Gravity Sewer from Eagle Way. to Nimtz Pkwy.
For Clam
Amount of Increase $ .
❑ Decrease _ apt
Previous Amount $ _. _ ....
Increase _ % I. E _I t ZOLO _w
Current Percent of Change: Decrease 0
New Amount $
Increase
Total Percent of Change: Decrease fmmmmmmmmmmm m%> M
New
e E a ralct re ntADate mount-, 7