Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 6, 2018 <br />Name Stephanie Department eal..-...._ .................. ............. . .. <br />BPW Date November 13, 2018 Phone Extension 9241 <br />... _www ..._IT.._IT. Required Prior to Submittal to Board _ ww.... ...__.. <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />H Agreement <br />El Professional Services <br />R Bid Opening <br />❑ Quote Opening <br />❑ Chg Order No. <br />Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Nreriate Item Tye <br />El Contract <br />Amendment <br />El Bid Award <br />E' Quote Award <br />❑ c/o &PCA No <br />❑ Traffic Control <br />JPR <br />Yes <br />No <br />MBE <br />WBE <br />Beck's Lake <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Time Extension: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Info <br />Proposal <br />❑ Req. to Advertise <br />El PCA <br />E, Resolution <br />Claim <br />If Yes, Approved by Purchasing <br />Addendum <br />❑ Title Sheet <br />Completed E-Verify Form Attached ❑ Yes <br />❑ No <br />'roiect <br />Dispersal After Approval <br />