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M <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Shirk <br />Department Admiin & Finance <br />BPW Date 10/09/2018 Phone Extension 9133 <br />Re aired' Prior to Submittal �o Board <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller F-1 and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F-1 <br />Agreement U Contract H Proposal L] Addendum <br />Professional Services ❑ Amendment <br />F-1 Bid Opening F-1 Bid Award Req. to Advertise El Title Sheet <br />E] Quote Opening F1 Quote Award <br />F-1 Chg Order No. R C/O & PCA No. PCA <br />F-1 Ease./Encroach. El Traffic Control Resolutio <br />M ,COther: Disposal Claim <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of II <br />I <br />El Yes R If Yes, Approved by Purchasing <br />F] No <br />1:1 MBE Completed E-Verify Form Attached El Yes <br />F] WBE ❑ No <br />For Change Orders Only <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />n <br />El <br />F-1 <br />F-1 <br />n <br />n <br />