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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />September 28, 2018 <br />Roger Nawrot <br />Purchasing ❑ <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />❑ Agreement <br />L l Contract L] Proposal LJ Addendum <br />❑ Professional Services <br />❑ <br />Resolution <br />❑ <br />Bid Opening <br />❑ <br />Bid Award ❑ Req. to Advertise ® Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />M Other: Quote Award <br />Company or Vendor Name <br />New Vendor <br />MBENIBE Contractor <br />MBEIWBE 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 H 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 />Brown & Brown General Contractors, Inc. <br />❑ Yes ❑ No ❑ If Yes, Approved by <br />Purchasina <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Century Center Convention Hall A-B Entry <br />115-017A <br />Hotel -Motel <br />7304-42010.000.0099 <br />$75,552.00 <br />Lump Sum <br />Award Base Bid and Alternate No.1 <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Eli <br />Dispersal After Approval <br />