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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/15/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 8/27/19 Phone Extension 5998 <br />lie uir d Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney R Attorney Name <br />Purchasing ❑ <br />IJ Professional Services Agreement LJ Contract <br />M <br />Open Market Contract <br />El <br />Amendment/Addendum <br />Bid Opening <br />0 <br />Bid Award <br />El <br />Quote Opening <br />Quote Award <br />n Proposal Opening <br />C/O & PCA No. <br />❑ Chg. Order, No. <br />❑ <br />Traffic Control <br />E] Other: <br />Recuired Information <br />All Submissions <br />Proposal <br />IU Special Purchase, QPA <br />® Req. to Advertise <br />® Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />® Title Sheet <br />Company or Vendor Name <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />No <br />❑ <br />MBE/WBE Contractor <br />WBE Completed E-Verify Form Attached <br />No <br />Project Name <br />Center Parkin Lo <br />Centu ry g t Entry Gateway Improvements <br />Project Number <br />_.. <br />118-035R <br />Funding Source <br />Hotel MotelTaxFund <br />Account No. <br />7304.42 <br />Amount <br />. ....... .................... <br />Terms of Contract <br />�................. ......................... .M <br />Lump and Unit Prices <br />Purpose/Description <br />Renovate the existing Century Cent west parking lot entrance off of Dr. <br />Martin Luther King Jr. Boulevard.. <br />For Chan&e Orders nl <br />El Amount of Increase $ <br />El Decrease __..... ......... ` _ w <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease �- %) <br />New Amount $ <br />..... ..... ......... _ _.._.... <br />Increase % <br />............-- <br />Total Percent of Change: Decrease _ %) <br />........... .................. <br />Time Extension Amount: <br />.. ........ ................ <br />New Completion Date: <br />