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6B (13)
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08-16-12 Packet
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6B (13)
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11/1/2012 9:47:19 AM
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 18, 2010 Department <br />BPW Date June 28, 2010 Phone <br />C &ED <br />235 -5842 <br />Name Bill Schalliol <br />o Legal ® Attorney Name Lawrence Meteiver <br />°6�' a _� Controller review is required for all Contracts $5,000.00 or more <br />o Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Y <br />Other Appropriate Reviewers ❑ <br />Company or Vendor Name <br />Project Name <br />Project Number (E9 9.L_ <br />Funding Source _ <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose /Description <br />Amount of <br />Previous Amount <br />Current Percent of Chan <br />New Amount <br />Total Percent of Change <br />PO No. <br />Addendum to Master <br />Sheridan and Linclon <br />_ HQ -04l <br />AEDA <br />324 -1050460 -41.01 <br />$ 166,800.00 <br />Addendum to Master Agency Agreement to allow for fundina for <br />Professional services contract for right -of -way services related to <br />Sheridan and Lincolnway Proiect <br />Increase I $ <br />Decrease $ <br />Copy Original <br />❑ ® Cheryl Phipps, C &ED <br />® ❑ Bill Schalliol, C &ED -ED <br />Agreement <br />Claim <br />Contract I Prop osal Addendum <br />Bid Award Rea. to Advertise Title Sheet <br />Bid Opening <br />Quote Opening <br />Quote Award <br />Ch Order No. <br />C/O & PCA No. pCq <br />Ease. /Encroach. <br />Traffic Control Resolution <br />Other: <br />Company or Vendor Name <br />Project Name <br />Project Number (E9 9.L_ <br />Funding Source _ <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose /Description <br />Amount of <br />Previous Amount <br />Current Percent of Chan <br />New Amount <br />Total Percent of Change <br />PO No. <br />Addendum to Master <br />Sheridan and Linclon <br />_ HQ -04l <br />AEDA <br />324 -1050460 -41.01 <br />$ 166,800.00 <br />Addendum to Master Agency Agreement to allow for fundina for <br />Professional services contract for right -of -way services related to <br />Sheridan and Lincolnway Proiect <br />Increase I $ <br />Decrease $ <br />Copy Original <br />❑ ® Cheryl Phipps, C &ED <br />® ❑ Bill Schalliol, C &ED -ED <br />
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