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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />06/25/2018 <br />Department <br />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 />mm <br />Controller <br />Purchasing <br />LJ Agreement <br />El Professional Services <br />F] Bid Opening <br />F Quote Opening <br />Z Change Order No. <br />El Ease/Encroach. <br />F Other: <br />F-1 Attorney Name: <br />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 />Company or Vendor Name <br />HContract L] Proposal LJ Addendum <br />F-1 Resolution <br />F-1 Bid Award ❑ Req. to Advertise El Title Sheet <br />El Quote Award <br />❑ C/O & PCA No, El PCA <br />❑ Traffic Control: <br />New Vendor <br />MBENVBE 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 />Walsh & Kelly, Inc. <br />El Yes N No ❑ If Yes, Approved by <br />Purchasing <br />[I MBE [:1 VVBE <br />F] No El Yes Name of Company, <br />Downtown East-West Streetscapes <br />117-041A <br />RVVDA TIF <br />324.1050A60.42.03 <br />roval of C.O. #2 <br />FIRequired Contractor's Certification, Forms Attached (Non - <br />Collusion, Non-Discrim i nation. Non -Debarment, E-Verifv, Iran, etc. <br />Amount of M increase $ 1,292.80 <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />n <br />F-1 <br />n! <br />F1 <br />El <br />n <br />$ 1,669,859.81, <br />$ 1,671,152.60 <br />0.73% <br />