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Date July 2, 2018 <br />Name Department Public Work;s <br />BPW Date July 10, 2018 Phone Extension 5933 <br />Re aired Prior td Subi�nittal to Beard <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000,00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing El <br />L::�eclk �the Appropriate �Item 'Type - Re abed forAll Submissions <br />F-I Agreement F-I Contract El Proposal ❑ Addendum <br />F-I Professional Services <br />R Amendment <br />F-I Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />0 Quote Opening <br />❑ Quote Award <br />E] Chg Order No. <br />❑ C/O & PCA No. E] PCA <br />❑ Ease.,/Encroach. <br />El Traffic Control El Resolution <br />Other: Acceptance of <br />El Claim <br />Dedication of Public ROW <br />Re aired Information <br />Company or Vendor Name <br />N/A <br />El Yes 0 If Yes, Approved by Purchasing <br />New Vendor <br />F-I No <br />MBE/WBE Contractor <br />MBE Completed E-Verify Form Attached El Yes <br />WBE No <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Acceptance of Dedication of <br />Public ROW: Deer Hollow <br />❑ <br />For Change Orders Only <br />Increase $ <br />Amount of E] Decreas <br />❑ e <br />$ <br />Previous Amount <br />$ <br />Current Percent of <br />Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />-- % <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />n <br />n <br />El <br />F-I <br />