HomeMy WebLinkAboutRTA - Momentum TIF Project - Site Work - Proj No 124-018BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date 09/17/2024
Name Zach Hurst Department DPW
BPW Date 09/24/2024 Phone Extension 3057
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 Momentum TIF Project – Site Work
Project Number 124-018
Funding Source River West DA TIF
Account No. PR-00036154
Amount
Terms of Contract Line Item
Purpose/Description Request to advertise for site work package at former Salvation Army building
on Main Street.
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:
September 24, 2024