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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 16, 2018 <br />Name Scott Kreeger <br />Department Public Works <br />Division/Bureau Engineering <br />BPW Date November 27, 2018 Phone Extension 9245 <br />')FkidA" ��;pIW��CY�WiW.i;�RPMIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIVIIIIIIIIIIIIIMGM/AUAO.WNINp, + u. .....i... ��t��� � NiJ.MWVIWd9NNV'V'WWW��^^^����"`^^^NYhA^�H/H/H/HMIMNIMIIIIIIIINr//�FMI�'M�'M�'M�'M�'M��NANIiDbUINI� v JIIIfSIdkdVPY(d;Po <br />.�...................... mm........... <br />Re uired Prior to Submittal _...�.......... _._......��.�w_� �..____.�� .� al to Board <br />0 <br />Legal E] Attorney Name: Clara McDaniels <br />Controller E] 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 <br />_......... .......... <br />the <br />Lj Agreement Amendment <br />Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />® Change Order No. 1 <br />❑ Ease/Encroach. <br />Other: <br />�r riate Item Type �- <br />El Contract <br />Resolution <br />for All Submissions <br />] Proposal <br />❑ Bid Award ❑ Req. to Advertise <br />❑ Quote Award <br />C/O & PCA No. ❑ PCA <br />❑ Traffic Control: <br />Required Information <br />Addendum <br />❑ Title Sheet <br />II Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />.. ..._.. v.. u . ...poi od For Chang e Order ,On <br />Amount of E] Increase $y <br />Decrease $ <br />Previous Amount $ <br />