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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 18, 2018 Department Public Works <br />..... ......_.�w �...... <br />Name Becca.. <br />Plantz <br />_ .... ... <br />Division/Bureau Engineering <br />BPW Date December 20, 2018 Phone Extension 5998 <br />i wa iia wwnnnwhmimimmmmmmimimmmmmmmmmmmmmmmmmmmmimimmmmmuuuuuuuuuuuuuuuuuuuuuuuummmmmmuumummmmmmwmmmm yuuwwuaaw�umuiuiuiuiuiomimimimi�u� mimimumimuwiuiuiuiuiuiuiuiuiuiuiuiuuuuu :wu»'e'wvim vmwww� uuu m�uuu iu��uuw'm'mv�m <br />_�....._.�._..�_....._..__ ...............� <br />Required Prior to Submittal to Board <br />Sub <br />Legal Z <br />... .......�. n <br />Attorney Name: Clara McDaniels <br />Controller <br />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 El <br />rm IT_Check the Appropriate Item 'Type Required for All Submissions �mm <br />ElAgreement Amendment <br />Contract E Proposal Addendum <br />Professional Services <br />Resolution <br />El Bid Opening <br />❑ Bid Award E] Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />0 Quote Award <br />Change Order No. <br />❑ C/O & PCA No. PCA <br />Ease/Encroach. <br />Traffic Control: <br />El Other: <br />IReouired Information <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 />Amounte <br />of <br />increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: _ <br />New Amount $ <br />Total Percent of Chance: <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Lawson -Fisher Associates <br />No ❑ If Yes, Approved Purchas�nmm ...... <br />[:1 MBE WBE <br />No .0 Yes Name of Companym <br />City Standards <br />115-116 <br />m . Professio_na.....Servi..................w.......ww..........�uu. ,.....................�.. �................................................_�....��.� <br />101-0602-431..3.��....����.......... <br />101-0602-431.31-06 <br />�. �.�........w �.. <br />m...._.. ......................................................................................w..... <br />$31,700 <br />Hourly Not to Exceed����� <br />To update the city standards <br />andard and specifications to recognize <br />revisions to the current document and include stormwater design <br />criteria, landscaping, Required Contractor's C fishes a nd fixtures <br />El Re <br />qCertification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Becca Plantz <br />luired For Change Orders On <br />Discersal After Awroval <br />