HomeMy WebLinkAboutRequest to Advertise - Two (2) More or Less Custom Rear Mount Pumpers Spec C
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date July 29, 2020
Department Central
Name Jeff Hudak Services
BPW Date August 11, 2020 Phone Extension
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 AgreementContractProposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote AwardReject Bids/Quotes
Proposal OpeningC/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 NameSpec C-Two (2) More or Less Custom Rear Mount Pumper
Project Number
Funding Source Fire Department Lease
Account No. 287-09-090-098-445000
Amount $1,000,000.00
Terms of Contract
Purpose/Description_______________________________________________________________
_______________________________________________________________
___________________________________________________
For Change Orders Only
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Previous Amount$
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Current Percent of Change:
New Amount $
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New Completion Date: