HomeMy WebLinkAboutRequest to Advertise - Southeast Neighborhood Center (United Way) Proj No. 119-093BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/07/2021
Name Zach Hurst Department DPW
BPW Date 04/13/2021 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 Southeast Neighborhood Center (United Way)
Project Number 119-093
Funding Source South Side DA TIF [subject to RDC approval 4/08]
Account No.
Amount
Terms of Contract Lump Sum
Purpose/Description Request to advertise for bids to perform public right of way improvements and
site work for the new neighborhood center United Way will construct at the
corner of Dubail and Fellows.
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: