HomeMy WebLinkAboutRequest to Advertise - 2023 Curb and Sidewalk Program Proj No 123-001BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 7/7/23
Name: Gemma Stanton Department of Public Works – Engineering Division
BPW Date: 7/11/23 Phone Extension: 9083
Required Prior to Submittal to Board
BPW Attorney X 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 2023 Curb & Sidewalk
Project Number 123-001
Funding Source Motor Vehicle Highway
Account No. PR/PO #
Amount N/A
Terms of Contract
Purpose/Description Request to advertise for 2023 Curb and Sidewalk bids
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:
July 11, 2023