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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/4/2018 <br />Purchasing <br />® Michael Schmidt <br />❑ <br />Agreement <br />❑ Contract LI Proposal L] Addendum <br />❑ <br />Professional Services <br />❑ <br />Resolution <br />❑ Bid Opening <br />® <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />n <br />Other: <br />Company or Vendor Name <br />The Robert Henry Corporation <br />New Vendor <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBENVBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />VPA Maintenance Storage Building <br />Project Number <br />118-046R <br />Funding Source <br />Park Bond Series l <br />Account No. <br />471-1138-452.42-01 <br />Amount <br />$330,174,00 <br />Terms of Contract <br />Lump sum base bid with alternates <br />Purpose/Description <br />Storage building extension at Maintenance Division Campus <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ <br />El <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />R <br />Dispersal After Approval <br />