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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 19, 2018 <br />Name Kara M. Boyles <br />Department Engineering <br />Division/Bureau DPW <br />BPW Date 6126/18 Phone Extension 5933 <br />Required Prior to Submittal to Board <br />Legal Attorney Name: C. McDaniels <br />Controller review is required for all Contracts $5,000.00 or more and <br />Controller Ell greater than one year in length per the City Purchasing Policy <br />Purchasing F: <br />Check the Appropriate Item Type — Required for All Submissions <br />R Agreement El Contract n Proposal El Addendum <br />F1 Professional Services Resolution <br />n Bid Opening Bid Award El Req. to Advertise E:1 Title Sheet <br />0 Quote Opening ❑ Quote Award <br />E] Change Order No., ❑ C/O & PCA No. n PCA <br />F-1 Ease/Encroach. F1 Traffic Control: <br />Other: Standards and Specifications Update <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />MBEAA/BE Contractor <br />MBEA/VBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of'Contract <br />Purpose/Description <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Origiinal <br />❑ <br />Lawson Fisher Associates <br />0 Yes F1 No F-1 If Yes, Approved by <br />Purchasing <br />E] MBE WBE <br />Fl. No 0 Yes Name of Company <br />Construction Standards and Specifications & Prevailing and <br />Supplemental Specifications <br />115-116 <br />N/A <br />N/A <br />N/A <br />N/A <br />Final updated standards and specifications to be presented for <br />approval. <br />F] Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />