HomeMy WebLinkAboutRight-of-Way Deed of Dedication and Certificate of Survey to City Owned LandNa'; s 0
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9/1/2020
Name Becca Plantz Department Public Works
BPW Date 9/8/2020 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer ❑ Officer Name Michael Patton
BPW Attorney ® Attorney Name Clara McDaniels
Dept. Attorney ❑ Attorney Name
Purchasing ❑
Check the Appropriate Item Type — Re uired or 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
171 Other: ROW Dedication n Ease./Encroach
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
❑ Yes ❑ If Yes, Approved by Purchasing
❑ No
E] MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes
❑
Nimtz Parkway Northwest Quarter of Section 30
118-065
Right of Way Dedication and Certificate of Survey to City owned land.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Combletion Date:
Increase
Decrease
Increase
Decrease