HomeMy WebLinkAboutOpening of Bids - Seventeen (17) More or Less, 2022 or Newer 3 Qtr. Ton Four Wheel Drive Pick-Up Trucks - Spec A - No Bids ReceivedBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date September 30, 2022
Name Jeff Hudak
Department Central
Services
BPW Date October 11, 2022 Phone Extension
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt
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
Spec A – Seventeen (17) More or Less 2022 or Newer ¾ Ton Four Wheel
Drive Pick up Trucks
Project Number
Funding Source VPA Lease – PR19050
Account No. 201-11-201-201-445100-DS0225
Amount
Terms of Contract Lease
Purpose/Description _______________________________________________________________
_______________________________________________________________
___________________________________________________
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:
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date September 30, 2022
Name Jeff Hudak
Department Central
Services
BPW Date October 11, 2022 Phone Extension
Review and Approval Required Prior to Submittal to Board Diversity Compliance
and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt
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
Spec A – Seventeen (17) More or Less 2022 or Newer ¾ Ton Four Wheel
Drive Pick up Trucks
Project Number
Funding Source Water Works Capital Budget – PR19052
Account No. 622-06-604-620-445100-DS0225
Amount
Terms of Contract
Purpose/Description _______________________________________________________________
_______________________________________________________________
___________________________________________________
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: