HomeMy WebLinkAboutRequest to Advertise - Four (4) More or Less, 2020 or Newer Standard AWD 4-Door Utility Vehicle Spec IBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date August 3, 2020
Department Central
Name Jeff Hudak Servies
BPW Date Phone Extension
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer El Officer Name
BPW Attorney ER Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing
ER Michael Schmidt
Clara McDaniels
I Check the Appropriate Item Tvpe — Reauired for All Submissions I
LJ Professional Services Agreement LJ Contract LJ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Opening ❑ Bid Award [0 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
F] Other: n Ease./Encroach
Information
Company or Vendor Name
New Vendor ❑ Yes❑ If Yes, Approved by Purchasing
❑ No
MBE/WBE Contractor ❑ V BE Completed E-Verify Form Attached El ❑ No
Project Name
Project Number
Building Cash 2020 Capital Budget, Code Lease, Water Cash 2020 Capital
Funding Source Budget
Building 600-13-060-060-445000
Code 230-12-300-100-445000
Account No.
Amount
Terms of Contract
Purpose/Description
Water 622-06-604-620-445000
Building $100,000
Code $40,000
Water $33,000
Building -Cash. Code -Lease. Water -Cash
AWD 4 Door Utility Vehicle
For Change Orders Only
Amount of ❑ Increase
❑ Decrease��a���,�oF�
Previous Amount $
Increase
Current Percent of Change: Decrease
New Amount
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