HomeMy WebLinkAboutRequest to Advertise - Washington Street Improvement Project Proj No. 118-105BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 3/16/20
Name K le Silvells Department Engineering
BPW Date 3/24/20 Phone Extension 9083
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--- wReview and AppKoyatjl cg sired Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer ❑ Officer Name
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney F-1 Attorney Name
Purchasing
Check the Appropriate Item Type -_,
Professional Services Agreement F Contract
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Open Market Contract
❑ Amendment/Addendum
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Bid Opening
❑ Bid Award
❑ Quote Opening
❑ Quote Award
Proposal Opening
❑ C/O & PCA No.
E] Chg. Order, No.
Traffic Control
El Other:
Required Information
All Submissions
Proposal
LJ Special Purchase, QPA
Z Req. to Advertise
[� Reject Bids/Quotes
❑ PCA
Resolution
Ease./Encroach
® Title Sheei
Company or Vendor Name
TBD
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❑Yes❑ If Yes, Approved by Purchasing
New Vendor
❑ No
MBE/WBE Contractor
❑ WBE Completed E-Verify Form Attached Nos
Project Name
Washington Street Improvement Project
Project Number
118-105
Funding Source
COIT
Account No.
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404-1001-460-42.03
Amount........................�
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Terms of Contract
Purpose/Description
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ForChangeOrders Only
Amount of El
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Decrease
Previous Amount
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Current Percent of Change:
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New Amount
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Increase
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Change:tal Percent of
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me Extension Amount:
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New Completion Date:
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