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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/17/20�18 <br />Name Board of Park Commissioners Department VPA <br />BPW Date Aril 24,2018 Phone Extension <br />Re ui ed M r o to, Subm <br />ittal <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F] <br />HI Agreement <br />Professional Services <br />Bid Opening <br />F-1 Quote Opening <br />❑ Chg Order No. <br />❑ Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />L-1 Contract <br />Z Amendment <br />F-1 Bid Award <br />0 Quote Award <br />El C/O & PCA No <br />[:] Traffic Control <br />Not Applicable <br />Proposal <br />El Req. to Advertise <br />_J Yes H If Yes, Approved by Purchasing <br />] No <br />FAr , r�MgT <br />E] T'itle Sheet <br />1:1 MBE F1 WBE No <br />Completed E-Verify Form Attached EI Yes <br />Z <br />First Amendment to Master Agency Agreement Between BPC <br />and BPW <br />NA <br />NA <br />NA <br />NA <br />Extending period BPW authorized to act as agent for BPC for <br />Public Works Proiects <br />For Change Orders Otily, <br />Amount of F] Increase $ <br />R Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Copy <br />Original <br />El <br />F-1 <br />F] <br />El <br />El <br />El <br />