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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />10/12/2018 <br />Shirk <br />Department Admin & Finance <br />BP W Date 10/2312018 Phone Extension 9133 <br />Required Prior to Submittal to Board <br />Legal Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller El and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing EJ <br />H Agreement <br />LJ <br />Contract F1 Proposal <br />El Addendum <br />R Professional Services <br />El <br />Amendment <br />F-1 Bid Opening <br />F-1 Bid Award F-1 Req. to Advertise <br />❑ Title Sheet <br />F-1 Quote Opening <br />F-1 Quote Award <br />El <br />Chg Order No. <br />F-1 C/O & PCA No. <br />❑ <br />PCA <br />El <br />Ease./Encroach. <br />F] Traffic Control <br />El <br />Resolution <br />Other: Di oral <br />El Claim <br />Required Information <br />Company or Vendor Name <br />New Vendor <br />0 Yes E:1 If Yes, Approved by Purchasing <br />El No <br />MBENVBE Contractor <br />❑ <br />❑WBE <br />MBE Completed E-Verify Form Attached <br />El Yes <br />E] No <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />For Change Orders Only <br />Amount of ❑ increase $ <br />El 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 />F� <br />El <br />n <br />