HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Neighborhood Infrastructure - Ford St. & Walnut St. Intersection Proj No. 121-048CBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/11/2022
Name Leslie Biek, PE Department PW
BPW Date 10/25/2022 Phone Extension 9323
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 Neighborhood Infrastructure- Ford and Walnut
Project Number 121-048C; PROJ 302
Funding Source Infrast. Bond
Account No. PR - 19886
Amount
Terms of Contract
Purpose/Description Ford and Walnut Intersection Improvement.
Request to Advertise: 10/28, 11/4
Bids Due 11/22
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:
October 25, 2022
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EL ANOINSSOFENIDIAAER 10/11/202210/11/202210/12/2022October 25, 2022