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BOARI) OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/02/2018 Department Public Works, <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />07/10/2018 <br />Phone Extension <br />5920 <br />Legal F-1 Attorney Name: <br />Controller ❑ 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 />L] Agreement Amendment <br />F] Profess'ional Services <br />F-1 Bid Opening <br />F] Quote Opening <br />0 Change Order No. I <br />E] Ease/Encroach. <br />F1 Other: General Release <br />Company or Vendor Name <br />[_1 Contract LJ Proposal LJ Addendum <br />F1 Resolution <br />F-1 Bid Award ❑ Req. to Advertise Title Sheet <br />El Quote Award <br />[] C/O & PCA No. F1 PCA <br />ElTraffic Control: <br />New Vendor <br />MBE/WBE Contractor <br />MBENVBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />The Airmarking Co., Inc. <br />F Yes El No ❑ If Yes, Approved by <br />Purchasing <br />F] MBE El WBE <br />E] No 0 Yes Name of Company <br />Downtown Bridge Striping <br />117-129 <br />LRSA / Lane Markings & LRSA / Street Maintenance. <br />251-0608-431,42-93 & 251 -0�608-431.36-1 0 <br />$72,500.20 <br />Additional Strippinq <br />F-1 Required Contractor's Certification Forms Attached (Noin- <br />Collusion, N on-Discri m i nation, Non -Debarment, E-Verifv, Iran, etc. <br />Increase $ 14,302.00 <br />Decrease $ <br />Previous Amount $72,500.20 <br />Current Percent of Change: 19,73% <br />New Amount $86,802.20 <br />Total Percent of Change: 19.73% <br />Copy <br />Original <br />El <br />El <br />Sue Ellen Doudrick <br />