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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 23, 2011 Department C &ED <br />BPW Date July 11, 2011 Phone 235 -5842 <br />Name Bill Schalliol <br />-tqt red,twiforrnon <br />Company or Vendor Name <br />Agreement <br />Contract <br />Proposal <br />L <br />Addendum <br />0 <br />Claim <br />If Yes, Approved by Purchasing <br />Bid Opening <br />Bid Award <br />SR 23 and Douglas Added Right Turn Lane Project <br />Reg. to Advertise <br />Title Sheet <br />Quote Opening <br />Quote Award <br />DREDA TIF <br />Chq Order No. <br />CIO & PCA No. <br />PCA <br />Ease. /Encroach. <br />Traffic Control <br />LJ Resolution <br />❑ <br />Other: <br />Terms of Contract <br />-tqt red,twiforrnon <br />Company or Vendor Name <br />Abonmarche <br />New Vendor <br />L <br />Yes <br />0 <br />No <br />If Yes, Approved by Purchasing <br />Project Name <br />SR 23 and Douglas Added Right Turn Lane Project <br />Project Number <br />Not yet assigned) <br />Funding Source <br />DREDA TIF <br />Account No. <br />Amount <br />$ 28,900.00 <br />Terms of Contract <br />Purpose /Description <br />Y <br />Design service proposal for SR 23 and Douglas Added Right <br />Turn Lane Proiect. <br />�' � <br />1 et'• 1 .; t ,. 4z .X't: ..1 <br />Amount of <br />❑ <br />❑ <br />Increase <br />Decrease <br />$ <br />$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />