HomeMy WebLinkAboutOpening of Quotes - Former Salvation Army Building HVAC Repairs Proj No. 119-084C - Edward J. White, Inc.BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 02/02/2021
Name Zach Hurst Department DPW
BPW Date 02/09/2021 Phone Extension 3057
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 Former Salvation Army Building HVAC Repairs
Project Number 119-084C
Funding Source River West DA TIF
Account No. PR-00007113
Amount
Terms of Contract Lump Sum
Purpose/Description Quote request to perform steam trap and thermostat replacements.
For Change Orders Only
Amount of
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Decrease
$
($ )
Previous Amount $
Current Percent of Change:
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Decrease
%
( %)
New Amount $
Total Percent of Change:
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( %)
Time Extension Amount:
New Completion Date: