HomeMy WebLinkAboutOpening of Quotes - 2020 Lamppost Program Proj No. 120-007 - Gama Sonic USA Solar Lighting, Inc.
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/06/2020
Department Engineering
Name Alicia Czarnecki
BPW Date 04/14/2020 Phone Extension 5903
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
Officer Name
and Inclusion Officer
BPW Attorney Attorney Name
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name TBD
Yes If Yes, Approved by Purchasing
New Vendor
No
MBE Yes
MBE/WBE Contractor Completed E-Verify Form Attached
WBE No
Project Name 2020 Tree and Stump Removal
Project Number
120-002
Funding Source
MVH
Account No.
202-0619-431.31-06
Amount
Terms of Contract
Purpose/Description _______________________________________________________________
_______________________________________________________________
___________________________________________________
For Change Orders Only
$
Increase
Amount of
Decrease ($ )
Previous Amount $
%
Increase
Decrease ( %)
Current Percent of Change:
New Amount $
%
Increase
Decrease ( %)
Total Percent of Change:
Time Extension Amount:
New Completion Date: