HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Ward Bakery Exterior Improvements Proj No. 121-061RϭϮϭͲϬϲϭZNovember 23, 2021
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date November 17, 2021 Department Public Works
Name Kyle Silveus Division/Bureau Engineering
BPW Date November 23, 2021 Phone Extension 9083
Required Prior to Submittal to Board
Legal Attorney Name: Clara McDaniels
Controller Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing Michael Schmidt
Check the Appropriate Item Type – Required for All Submissions
Agreement Contract Proposal Addendum
Professional Services Resolution
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award
Change Order No. C/O & PCA No. PCA
Ease/Encroach. Traffic Control:
Other:
Required Information
Company or Vendor Name N/A
New Vendor Yes No If Yes, Approved by Purchasing
MBE/WBE Contractor MBE WBE
MBE/WBE Contractor Requested No Yes Name of Company
Project Name Ward Bakery Exterior Renovations
Project Number 121-061R, PROJ00000293
Funding Source River West TIF
Account No. 324-443001
Amount N/A
Terms of Contract
Purpose/Description
N/A
Exterior Improvements to the Ward Bakery building.
Improvements to the façade include masonry, doors, and
windows.
Required Contractor’s Certification Forms Attached (Non-
Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of Increase
Decrease
$
$
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Change: %
Dispersal After Approval
Copy Original
Kyle Silveus
November 23, 2021