HomeMy WebLinkAboutRTA - One or More 2024 or Newer Self-Propelled Spreader Spec ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date January 29, 2025
Name Jeff Hudak
Department Central
Service
BPW Date February 25, 2025 Phone Extension
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 Spec A – One (1) or More 2024 or Newer Self-Propelled Spreader
Project Number
Funding Source PR-00039030
Account No. 642-06-605-515-445000
Amount
Terms of Contract 2025 Cash
Purpose/Description _______________________________________________________________
_______________________________________________________________
___________________________________________________
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:
February 25, 2025