HomeMy WebLinkAboutRequest to Advertise - 2024 Sewer Insurance Lateral Repair ProgramBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 01/04/2024
Name Ward, Sean
Department Public
Works/Sewer
Department
BPW Date 01/23/2024 Phone Extension 7569
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name
BPW Attorney Attorney Name
Dept. Attorney Attorney Name Schmidt, Michael
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 Sewer Insurance Lateral Repair Program
Project Number
Funding Source O&M
Account No.
Amount
Terms of Contract
Purpose/Description Sewage Works is soliciting applications from qualified vendors to participate
in its Sewer Lateral Repair Program at the rates herein for the 2024 calendar
year.
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For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %) January 23, 2024