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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 21, 2018 <br />Name Al........�.�.....�.�.�.............. _...fie �w......w�w�w�—.... <br />key'a Aldred Department DCI <br />BPW Date Phone Extension 5896 <br />��A�B�WMWMnmImI WVIWh'/A(tlil ;�ryMllY�iM11YAHXYAI Nll ap� WM1'pllAMllhf °` ryY%I�NmImImIIIIIIIIIIIIIIIIIIIIIIIIIG/ilof�P IMw WWUVIVIWWWVIVI VIV AUAImININI ApIIIIIIIIIIIIIIIIIIIWILWIW�W�IXM1WiM:ftll�l <br />Re uired Prior to Submittal to Board <br />Legal ® Attorney Name Sandra Kennedy <br />Controller ® Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing 1-1 <br />Check the <br />Agreement <br />Professional Services <br />Bid Opening <br />[❑ Quote Opening <br />❑ Change Order No. _ <br />Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />iro riate Item Ty <br />Contract <br />El Resolution <br />El Bid Award <br />El Quote Award <br />[] C/O & PCA No. _ <br />El Traffic Control <br />......................... <br />for All Submissions <br />ProposalAddendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information <br />Antonius Northerm <br />❑ PCA <br />Resident engagement, communication and programming related to the <br />Engagement & Empowerment team's goals. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion„ Non -Discrimination Non -Debarment, E Verity, Iran, etc. <br />Amount of Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: % <br />New Amount $ <br />