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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 19, 2018 <br />Name Scott Kreeger <br />Department Public Works <br />Division/Bureau Engineering <br />BPW Date November 27, 2018 Phone Extension 9245 <br />...._. <br />Required Prior to Submittal to Board <br />LegalAttorney Name: <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing z <br />w _ Check the <br />Agreement Amendment <br />E] Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />❑'' Ease/Encroach. <br />F� Other: <br />iropriate Item Tom- <br />Contract <br />Resolution <br />® Bid Award <br />❑ Quote Award <br />C/O & PCA No, <br />Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE 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 />E] Decrease <br />Previous Amount $ <br />Current Percent of Change:_ <br />New Amount $ <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />R <br />z <br />El <br />d for All Submissions <br />_' Proposal <br />❑ Req. to Advertise <br />ired Information <br />■' <br />Ritschard Bros., Inc. <br />Yes E No <br />MBE Z WBE <br />No. ❑_ Yes Name .............................. of Corn <br />2018 Demolitions <br />118-307 <br />COIT <br />.. .....— <br />404-1201-415-39 87 <br />$319, 758.00 <br />Addendum <br />❑ Title Sheet <br />If Yes, Approved Purchasi <br />Vacant and Abandoned House Demolitions <br />® Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />luired For Chanqt_Orders Opw1 <br />Disoersal After Aodroval <br />Kara Boyles, City Engineer <br />Roger Nawrot, Assistant City Engineer .__. _...._ <br />..................................__ ..._..... <br />..... <br />_ ........ <br />.......... <br />Marlaina Johns, Assistant Director of Code Enforcement <br />