HomeMy WebLinkAboutRequest to Advertise - 2020 Community Crossings Proj No. 120-012
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date April 22, 2020
Department Public
Name Scott Kreeger Works
BPW Date April 28, 2020 Phone Extension 9245
Required Prior to Submittal to Board
BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney Attorney Name
Purchasing Michael Schmidt
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
Yes If Yes, Approved by Purchasing
New Vendor
No
MBE Yes
MBE/WBE Contractor Completed E-Verify Form Attached
WBE No
Project Name 2020 Community Crossings
Project Number 120-012
Funding SourceLRSA
Account No. 251-0608-431.31-06
Amount
Terms of Contract
stnd
Purpose/Description _1 Ad: May 8; 2Ad: May 15__________________________
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 ExtensionAmount:
New Completion Date: