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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />June 29, 20118 <br />Tara Weigand <br />Department Public Works <br />Division/Bureau Engineering <br />BPW Date July 10, 2018 Phone Extension 5998 <br />Required Prior to Submittalto Board <br />Legal F1 Attorney Name: <br />Controller Controller review is required for all Contracts $5,0010.00 or mare and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />" Agreement Amendment <br />El Professional Services <br />n Bid Opening <br />E:1 Quote Opening <br />F-1 Change Order No. <br />❑ Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />LJ Contract <br />H Proposal <br />El Resolution <br />F] Bid Award <br />El Req, to Advertise <br />D Quote Award <br />F-1 <br />C/O & PCA No. <br />❑ PCA <br />H <br />Traffic Control: --Residential <br />Handicap Parking <br />New Vendor <br />MBENVBE Contractor <br />MBE/WBE, Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Terms of Contract <br />Purpose/Description <br />Amount of F-1 increase <br />F Decrease <br />Previous Amount <br />WITUM707 or, <br />F Title Sheet <br />El Yes El No E] If Yes, Approved by <br />Purchasina <br />L-1 MBE H WBE <br />F] No F-1 Yes Name of Comioanv <br />524 S Meade Street Residential Handicap Parking <br />Recommend Denial <br />[] Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc) <br />equired For Chahlg6 Ordots,,Ohl <br />y <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />El Roger Nawrot, Assistant City Engineer <br />F Ed Gleckler, Manager Bureau of Traffic & Lighting <br />❑ F-1 SBPD <br />