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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/15/2019 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />.... <br />BPW Date 0.....�_ �.. _................� <br />1 /22/2019 Phone Extension 5920 <br />m� umr�mrna wm�ivi�iuiuiuiuiuimui um�wuuuu�irartumerrrm�e mmmm�rur,w;�rr mmmmmmimimimi �11ini11m mmremwore <br />_mmmITITIT_ Required or to Submittal to Board <br />Re Prior <br />Legal Attorney Name: <br />Controller El 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 />Check the <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />�ro�rGaammltem T --Re <br />❑ Contract <br />F] Resolution <br />El Bid Award <br />Quote Award <br />El C/O & PCA No. <br />El Traffic Control: <br />ired for All wSubmissions <br />Proposal <br />o <br />Req. to Advertise <br />e aired Information �.....�.�._.....�...._... <br />Company or Vendor Name <br />R. Yoder Construction, Inc. <br />New Vendor <br />❑ Yes No 0lf Yes, A prmmmPurchas <br />MBE/WBE Contractor <br />MBE❑ WBE <br />MBE/WBE Contractor Requested <br />No ❑ Yes Name of Compnymm <br />..�_......... <br />Project Name <br />H i bberd Plaza Improvements <br />�?............. �... .. �..�.� � � .... <br />Project Number <br />117-063R <br />Funding Source <br />......_..........._.............�._w................ ....................................................�__ <br />RWDA TIF <br />Account No. <br />324.105..............................�.., m �.....��......................d.Y <br />0.460.42.01 <br />Amount <br />t479,998.27 <br />Terms of Contract <br />Purpose/Description <br />Project Clo..........w�_............................................................ <br />seout <br />Addendum <br />❑ Title Sheet <br />