Laserfiche WebLink
Date 8/3/16 <br />BPW Date 8/9/16 <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Phone <br />Public Works <br />235-5835 <br />Name <br />Jitin Kain <br />o <br />Legal <br />® <br />Attorney Name Ben Dougherty <br />E ° M -a <br />Controller review is required for all Contracts $5,000.00 or more <br />$ o <br />Controller <br />❑ <br />and greater than one year in length per the City Purchasing <br />0- m <br />Policy <br />co <br />Purchasing <br />❑ <br />ChPrk tha Annrnnrinto <br />Ifcm Time _ Rn n(rod { , All 0.,1. ; <br />® <br />❑ <br />Agreement <br />Claim <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ <br />Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise <br />❑Title Sheet <br />Quote Openin <br />❑ Quote Award <br />❑ <br />Ch Order No. <br />❑ C/O & PCA No. <br />PCA <br />❑ <br />Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution <br />❑ <br />Other: <br />ZlJf I I I I tSd■ rill lT i4Sl . <br />n or Vendor Name <br />Tuck Langland <br />ndor <br />® Yes ❑ <br />No ❑ If Yes, Approved b Purchasin <br />BE Contractor <br />❑ MBE ❑ WBE <br />Name <br />Fr. Hesburgh & Dr. King Monument <br />Number <br />Source <br />lPurpose/DpescriptionA <br />Private Donations <br />t No. <br />t <br />$ <br />f Contract <br />/Description <br />Agreement commissioning the artwork to create a lifesize <br />monument of Fr. Hesburgh and Dr. Kino <br />rnr (:mmnnn r lrrloro n..n. <br />❑ <br />❑ <br />Increase <br />Decrease <br />$ <br />$ <br />ount <br />$ <br />cent of Change: <br />WNo. <br />% <br />t <br />$ <br />t of Chan e: <br />% <br />vispersai Hner Hpprovai <br />Copy Original <br />❑ ® Linda Martin <br />® ❑ in Kain <br />