Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Aril 16, 2018 <br />Name ,Jeff Hudak Department <br />Lj Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />FI Other: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />MBEIWBE Contractor <br />Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Central Services <br />❑ Contract U Proposal LJ Addendum <br />❑ Resolution <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award <br />❑ CIO & PCA No. ❑ PCA <br />❑ Traffic Control <br />Required Information <br />NESCO, LLC <br />❑ Yes 0 No ❑ If Yes, Approved by Purchasin <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Spec E — one (1) or more or less 2018 or Newer 60' Aerial Two <br />Wheel Drive Tower Truck Complete <br />2018 Wastewater Capital Fund 642 <br />Total price - $234,550 <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Jeff Hudak <br />® ❑ Al Greek <br />❑ ❑ <br />