HomeMy WebLinkAboutRTA - 2025 Asphalt Material Bid Proj No 125-006BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 3/4/2025
Name: Jake Koestner Department of Public Works – Engineering Division
BPW Date: 3/11/2025 Phone Extension: 7483
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovy
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 2025 Asphalt Materials Bid
Project Number 125-006
Funding Source MVH R, LRS Major Movies
Account No.
266-06-602-503-423002, 251-06-600-506-423002, 412-06-600-506-
423002
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description 1st Ad: March 14, 2025, 2nd Ad: March 21, 2025
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:
March 11, 2025