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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 5,, 2018 <br />Name Tara Weigand <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPS,/ Date March 13, 2018 Phone Extension 5998 <br />. . . . . . . . . . <br />mT <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />E <br />X Biid Award E] Req. to Advertise <br />Quote Award <br />C/O & PCA No. ■PCA <br />Traffic Control:- esi-dential Handicap Parking <br />New Vendor <br />MBEANBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of U Increase <br />F-1Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />El <br />[ Title Sheet <br />Yes 0 No If Yes, Approved by <br />Purchasina <br />L-J MBE LJ WBE <br />F-1 No F] Yes Name of Company <br />Residential Handicap Parkin <br />1145 College Street <br />H Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />er Nawrot, Assistant Citv Enclineer <br />Ed Gleckler, Manager Bureau of Traffic & Lighting <br />SBPD <br />