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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/1 /18 <br />Name Liz Maradik <br />Department DCI <br />BPW Date 5/8/18 <br />Phone Extension 5821 <br />Legal <br />Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ <br />and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />Check. khe Approprrafe Item Type ,_Re urged forAll Subrnrss�ons f, y <br />q. <br />❑ Agreement <br />❑ Contract ❑ Proposal ❑ Addendum\^ <br />® Professional Services <br />❑ Amendment <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control ❑ Resolution <br />❑ Other: <br />❑ Claim <br />do <br />Company or Vendor Name <br />Abonmarche Consultants, Inc. <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />No <br />❑MBE ❑Yes <br />MBEIV1rBE Contractor. <br />Completed E Verify Form Attached <br />❑ WBE .... ❑ No <br />Project Name <br />East Bank Trail Survey <br />Project Number <br />Funding Source <br />Park Bond (Series K) <br />Account No. <br />471-1141-452.42-01 <br />Amount <br />NTE $45,100 <br />Terms of Contract <br />Purpose/Description <br />Route s irvey and parcel plats for East Bank Trail <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Dispbrsal After Approval . <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />