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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/19/2018 <br />Name Kieran Fahey Department Engineering <br />U Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />❑ Other: Supplemental <br />Environmental Project <br />Company or Vendor Name: <br />H Contract <br />❑ Resolution <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O &PCANo. <br />❑ Traffic Control <br />Proposal <br />❑ Req. to Advertise <br />FO . <br />New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name. <br />Project Number <br />Funding Source <br />Account No. <br />Addendum <br />❑ Title Sheet <br />Bowman Creek Supplemental Environmental Project. <br />118-049 <br />Wastewater contractual service <br />641-0630-793-3665 <br />Amount $30,000 <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />$ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />