Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />4/18118 <br />Jitin Kain <br />Department Public Works <br />BPW Date 4/24/18 Phone Extension 5835 <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Chg Order No. <br />❑ Ease./Encroach. <br />F.I Other: <br />❑ Amendment <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O &PCA No <br />❑ Traffic Control <br />❑ Req. to Advertise <br />❑ PCA <br />❑ Resolution <br />F l Claim <br />❑ Title Sheet <br />Company or Vendor Name <br />Maclovio Cantu IV <br />®Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />❑ <br />No <br />MBEIWBE Contractor ` <br />❑MBE Completed E Verify Form ❑Yes <br />❑ WBE Attached No ❑ <br />Project Name <br />Riverside & Hudson Placemaking <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />$650 <br />Terms of Contract <br />Purpose/Description <br />The services include designing and painting artwork at the <br />intersection of Riverside Drive and Hudson Ave. This is part of a <br />placemaking initiative being implemented to calm traffic at the <br />intersection. <br />°, <br />. for Change Orders On[ <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />Time Extension: <br />Dispersal. After Approval <br />Copy Original <br />❑ ❑ <br />❑ ❑ <br />❑ ❑ <br />