HomeMy WebLinkAboutOpening of Quotes - 120-017 CSO 18 Backwater Valve Replacement Proj No. 120-017 - Selge Construction Co., Inc.BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 09-10-2021
Name: Jacob M. Klosinski, P.E.Department of Public Works – Engineering Division
BPW Date: 09-14-2021 Phone Extension:Ext. 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Clara McDaniels
Dept. Attorney Attorney Name Clara McDaniels
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 CSO 18 Backwater Valve Replacement
Project Number 120-017
Funding Source 641-06-605-514-439001
Account No. PR #00010974 /PO #TBD
Amount Refer to Purchase Requisition, Price will be based on awarded quotation
Terms of Contract Lump Sum, Unit Price
Special Contract Provisions
Purpose/Description Division of Engineering and Division of Utilities submits a request to Open
Quotations for the subject project for the replacement of the CSO 18
Backwater Valve Replacement project at the 09/14/2021 Regular Meeting.
For Change Orders Only
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