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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/19/19 <br />Department Public <br />Name Becca Plants Works <br />BPW Date 2/26/19 Phone Extension 5998 <br />Wdtltlli9lri➢filD A p@Y�iV�fflflflVlFIFflVIVI�IR�MppppMNMIWMpxdI3'iNtl �/ry YW:0.WWW'"'"'""""""""""""'"'"'MMmVIVIIWWW'WWV�WWWVIVIVIVIVIVWIVIVIVIWVIVIVW ��@@�,W,�,q <br />...dam �...���mmmm u.uuuu....u�..��....��.�.�..... .....M <br />m IT ._ .....R.equired Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney 0 Attorney Name <br />Purchasing <br />Check the Appropriate Item Type - <br />Professional Services Agreement ❑, Contract <br />[:]' <br />Open Market Contract <br />[❑' Amendment/Addendum <br />❑ <br />Bid Opening <br />Bid Award <br />Quote Opening <br />Quote Award <br />n Proposal Opening <br />C/O & PCA No. <br />EJ Chg. Order, No. <br />El <br />Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />All Submissions <br />H Proposal <br />Special Purchase, QPA <br />® Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />® Title Sheet <br />❑ Yes ❑If Yes Approved by Pu <br />rchasing <br />❑ No <br />❑ WBE Completed E-Verify Form Attached El es <br />Century Center Upgrades and Renovations <br />118-104A <br />Hotel Motel Tax Fund 2019 <br />7304.42010.000.0099 <br />_Upgrades and renovations to the interior office spaces on the lower, first, <br />and second floor. <br />For <br />Amount of ❑ Increase $ <br />n Decrease <br />Previous Amount $ _ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />