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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 5, 2018 <br />Name David Relos <br />Department DC1 <br />BPW Date June 12, 2018 <br />Phone Extension 5836 <br />Required Prior to Submittal to Board <br />Legall Z <br />Attorney Name Sandra Kennedy <br />Controller El <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />Check the Appropriate Item Type — Required for All Submissions <br />M Agreement <br />F-1 Contract [J Proposal ❑ Addendum <br />F1 Professional Services <br />❑ Resolution <br />El Bid Opening <br />E:1 Bid Award Req. to Advertise E] Title Sheet <br />F-1 Quote Opening <br />El Quote Award <br />n Change Order No, <br />F1 C/O & PCA No. ❑ PCA <br />F-1 Ease/Encroach. <br />❑ Traffic Control <br />Other: <br />_E1 <br />Required Information <br />Company or Vendor Name Michigan Street Shops LLC <br />New Vendor El Yes 0 No n If Yes, Approved by Purchasing <br />MBENVBE Contractor [:] MBE F1 WBE <br />Project Name Wayne St Garage Use, Maintenance, and Facade Agreement <br />Project Number <br />Funding Source <br />Account No. <br />Amount $ <br />Terms of Contract <br />Purpose/Description To determine maintenance' use, and fayade responsibilities post closing <br />after the sale of the Wayne St Garage retail space to Cressy. <br />ni Required Contractor's Certification Form Attached (Non - <br />Collusion, Non-Discdmination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of <br />Req <br />F-1 increase $ <br />F-1 Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F-1 <br />❑ <br />El <br />0 <br />David Relos <br />Sandra Kenned <br />aka <br />Dispersal After Approval <br />