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BOARD OF PUBLIC WORDS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />3/19/2018 <br />Lauren Trapp <br />Purchasing ❑ <br />Department Utilities <br />❑ Agreement <br />❑ Contract <br />❑ Proposal LJ Addendum <br />❑ Professional Services <br />❑ Amendment <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control <br />❑ Resolution <br />® Other: Industrial <br />❑ Claim <br />Discharge Permit <br />Renewals for: McCormick <br />& Co. Inc, Monarch <br />Textile Rental on <br />I-Incoinway West, <br />Monarch Texile Rental on <br />Foundation Drive and <br />Unifrax 1 LLC <br />Company or Vendor Name <br />New Vendor ❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />MBEANBE Contractor ❑ WBE Completed E-Verify Form Attached 0 Nos <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />