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q km I - <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />June 18, 201�17 <br />Roger Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date June 26, 2017 Phone Extension 5932 <br />Legal F] Attorney Name: <br />Controller El 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 />LJ <br />Agreement <br />" Contract LJ Proposal LJ Addendum <br />n <br />Professional Services <br />El Resolution <br />n Bid Opening <br />F-1 Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />n Quote Opening <br />❑ Quote Award <br />E] <br />Change Order No. <br />❑ C/O & PCA No. PCA <br />Ease/Encroach. <br />El Traffic Control: <br />Other: Amendment #1 <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Abonmarche Consultants <br />El Yes 0 No E] If Yes <br />Ej MBE [:] WBE <br />F] No El Yes Name of Company <br />CAD Drafting Services <br />117-119 <br />LRSA Traffic Signal Maintenance <br />251-0608-431,36-67 <br />F01141T.W1 <br />$5,000.00 <br />Not to Exceed <br />Total amount of agreement is $8,990.00 <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of❑ increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />0 F-1 Kara Boyles <br />F-1 F-1 Roger Nawrot <br />El El <br />