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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />4/16/2019 <br />Department Admin & Finance <br />Name <br />Adam Parsons <br />Division/Bureau Central�._.....w�_ <br />Services <br />BPW Date <br />ueu i�m�wuwwimuuuuuuuuuuumtirvmuuuuu�uuuuuwmimim�m!mw�uuuuumim�m!mwoouuu�arornart�riw�aw� <br />4/23/2019 <br />��� <br />Phone Extension 9302 <br />w�e�;�u�-R,,,�mnyamd���a�rwxa�mm,�mwi .�sa� � m — .uvmuw,��or�o�e���ar�u��^� r�r�rrrr � ��-�-o^,�rsr�u��airaraHiHiHuuuuuuuuuuuuuom <br />... .. _ .. <br />.... .....� ....... ��.u��_ <br />Required w_._.,... ... ........._�.�. _ ...�. .�_ ..... m ......�.. ...�. <br />Prior to S ubmittal to Board <br />Legal <br />❑ <br />...._..� �.m�...�.�,�,,,,,,,,m������������. <br />Attorney Name: Clara McDaniels <br />Controller <br />® <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 ❑ <br />Check the <br />Agreement Amendment <br />Professional Services <br />Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />oro r,iat Item T p <br />Contract <br />❑ Resolution <br />❑ Bid Award <br />® Quote Award <br />F1 C/O & PCA No, <br />(] Traffic Control: <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 />or All Sub <br />missions <br />]Proposal <br />Ej Req. to Advertise <br />Reauired Information <br />❑ PCA <br />Premier 1 Construction„ Inc. <br />Addendum <br />❑ Title Sheet <br />El Yes 0 No ❑ If Yes, Approved by <br />Purchasin <br />F] MBE ❑ WBE9�� ._........ <br />No ❑ Yes Name of Company <br />HRC Office Updates <br />18-018 <br />._. .... <br />COIT <br />04-0617-431.36.01 <br />$21,252.00 <br />Lump Sum <br />Update HRC offices to accommodate D&I personnel <br />