HomeMy WebLinkAboutRTA & Title Sheet - Drainage Improvements Project - Garland Circle - Proj No 123-006 - TabledBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/14/2024
Name Becca Plantz Department Public Works
BPW Date 10/22/2024 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name Cynthia Simmons
BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovey
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 Drainage Improvements Project: Garland Circle
Project Number 123-006
Funding Source Stormwater Infrastructure
Account No. PROJ-574
Amount
Terms of Contract Unit Prices
Purpose/Description Small drainage improvements between Garland Circle and Ridgedale Road
including a new drainage channel and stormwater pipe.
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 22, 2024