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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June ll,2019 <br />Department Public <br />Name Scott K <br />Works <br />BPW Date June 25 2019 Phone Extension 9245 <br />V mivoi ioililillimimillillillinllnI <br />RNR��or to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney El Attorney Name <br />. ........... <br />Purchasing F-1 Michael Schmidt <br />Check the Appropriate Item Tvve - <br />F-1 Professional Services Agreement <br />Open Market Contract <br />Bid Opening <br />Quote Opening <br />❑ Proposal Opening <br />Chg. Order, No. <br />E] Other: <br />El Contract <br />E] Amendment/Addendum <br />Bid Award <br />Quote Award <br />❑ C/O & PCA No. <br />E] Traffic Control <br />B,eq�jircd Information <br />All Submissions <br />H Proposal <br />[:] Special Purchase, QPA <br />Z Req. to Advertise <br />E] Reject Bids/Quotes <br />F-1PCA <br />El Resolution <br />0 Ease./Encroach <br />0 Title Sheet <br />Company or Vendor Name <br />New Vendor <br />=YQ If Yes, Approved by Purchasing <br />F] No <br />MBE/WBE Contractor <br />[:] MBE Completed E-Verify Form Attached <br />F-1 MBE <br />El Yes <br />E] No <br />Project Name <br />2019 Contractor Pavinv <br />Project Number <br />119-062 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />-RgqRest—to-Advcrtisc—On JW-y —5and -Ju-1Y-1L <br />For Cba <br />--- . . ..... �- �nye �Ordq�Qqly <br />Amount of El <br />❑ <br />Increase <br />- — - -- - -------- <br />Decrease --o ... <br />Previous Amount <br />Increase % <br />Current Percent of Change: <br />Decrease %) <br />New Amount <br />Increase % <br />Total Percent of Change: <br />Decrease .......... <br />Time Extension Amount: <br />- - . ...... <br />New Completion Date: <br />