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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Patrick Sherman <br />BPW Date 10/23/2018 Phone Extension 5601 <br />Required Prior to Submittal to Board <br />Legal Z Attorney Name Clara McDaniels <br />Controller z Controller review is required for all Contracts $5,000.00 or moire and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z Michael Schmidt <br />H Agreement <br />El Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />n Change Order No. <br />❑ Ease/Encroach. <br />EJ Other: <br />H Contract <br />EIResolution <br />❑ Bid Award <br />Quote Award <br />C/O & PCA No. <br />❑ Traffic Control <br />Proposal <br />0 Req. to Advertise <br />Vim <br />Company or Vendor Name Holladay Property Services Midwest Inc. <br />New Vendor El Yes M No F-1 If Yes, Approved by Purchasing <br />MBEANBE Contractor F MBE F1 WBE <br />MBE/WBE Contractor Requested F No n Yes Name of Company <br />Project Name Leighton Plaza Maintenance <br />Project Number 1077-2018 <br />Funding Source Maintenance Fund - K61 PROP <br />Account No. N/A <br />Amount $ 51,250 Z, 114-2 S <br />F Addendum <br />El Title Sheet <br />Terms of Contract Two-year contract ' <br />Purpose/Description Maintenance contract for Lei ghton.,Plaza. <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrim i nation, Non -Debarment, E-Verifv, Iran, etc. <br />Required For Change Orders Only <br />Amount of F-1 increase $ <br />[:] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />F-1 <br />F-1 <br />R <br />F] <br />Cl <br />0 <br />