HomeMy WebLinkAboutRequest to Advertise - Ductile Iron Pipes, Valves and Hydrant Material Specs Proj No. 120-054BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/13/2020
Name Leslie Biek, PE Department PW
BPW Date 10/27/2020 Phone Extension
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name
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
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name DIP, Valves and Hydrant Material Specs
Project Number 120-054
Funding Source
Account No. 620-06-604-606-423014
Amount Estimated $350,000
Terms of Contract
Purpose/Description Request to Advertise 11/6 and 11/13. Open at 11/24 BPW meeting.
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
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Time Extension Amount:
New Completion Date: