HomeMy WebLinkAboutRequest to Advertise - 2021 Asphalt Materials Bid Proj No. 121-026BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date March 2, 2021
Name Scott Kreeger
Department Public
Works
BPW Date March 9, 2021 Phone Extension 9245
Required Prior to Submittal to Board
BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney Attorney Name
Purchasing Michael Schmidt
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 2021 Asphalt Materials Bid
Project Number 121-026
Funding Source MVH R, LRS Major Moves
Account No.
266-06-602-503-423002, 251-06-600-506-423002, 412-06-600-506-
423002
Amount
Terms of Contract
Purpose/Description ___1st Ad: March 19, 2021, 2nd Ad: March 26,
2021______________________________________________
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
(%)
New Amount $
Total Percent of Change:
Increase
Decrease
%
(%)
Time Extension Amount:
New Completion Date: