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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />29/11 /2018 <br />Kieran Fah <br />Department Public Works <br />BPW Date 12/11/2018 Phone Extension 5993 <br />uu�mm om00000immrv000mmmmmmmmi rvrv�m uumwm�dd �a�e � m�m�m�m�mmi���� oim� <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the <br />H Agreement <br />® Professional Services <br />❑ Bid Opening <br />El Quote Opening <br />[:] Change Order No. _ <br />El Ease/Encroach. <br />0 Other: <br />grop(iate Item Type <br />El Contract <br />0 Resolution <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />Company or Vendor Name: EmNet <br />d for All Submissions <br />71 <br />ProposalAddendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information11 <br />❑ PCA <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />® MBE ❑ WBE <br />MBE/WBE Contractor Requested [:] No ❑ Yes Name of Company <br />Project Name <br />2018 CSO Reduction Projects <br />Project Number <br />118-109 <br />Funding Source <br />Wastewater (LTCP Engineenr <br />Account No. <br />641-0630-793.31-02�� <br />Amount <br />$ 779,001 <br />Terms of Contract <br />Purpose/Description <br />To further reduce S B s C SO volume -� <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment E-Verify, Iran, etc. <br />Required For ChauOrders Only <br />Amount of <br />Increase $ ......� w .. . <br />Decrease $ <br />Previous Amount <br />_ $.... ......w....- ._.......................� .�_.... ._.. ... __ ..... <br />Current Percent of Change: % <br />New Amount..�........................ <br />Total Percent of Change: <br />_ Dispersal After_Aro.w......... <br />p pp val <br />Copy Original <br />