HomeMy WebLinkAboutOpening of Qualifications - Lead Hazard Reduction Program Pre-Qualified Contractors RFQ - Greentree Environmental Services, Inc.BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 3/16/2021
Name Liz Maradik Department DCI
BPW Date 3/23/20 Phone Extension x5821
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 Sandi Kennedy
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: RFQ Opening 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 Lead Hazard Reduction Pre-Qualified Contractors Registry
Project Number
Funding Source
Indiana Housing & Community Development Authority (IHCDA) Lead
Hazard Reduction Grant and HUD Office of Lead Hazard Control &
Healthy Homes (OLHCHH) Lead Hazard Reduction Grant
Account No.
Amount
Terms of Contract
Purpose/Description Opening of Request for Qualifications to establish a registry of pre-qualified
lead contractors.
For Change Orders Only
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Previous Amount $
Current Percent of Change:
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New Amount $
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