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SDate <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />5/06/2019 <br />Jeff Hudak <br />Department Central Services <br />BPW Date 05/14/2019 Phone Extension 574-235-9316 <br />Required Prior to Submittal to Board <br />............... ............. . .. .... ..... Required . . . . ... . . ........ .. .......... <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller E] and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z Michael Schmidt <br />Check the Ar)proorlate Item Type — <br />J_J Agreement <br />Professional Services <br />f Bid Opening <br />Quote Opening <br />Chg Order No. <br />Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Contract <br />' "', " <br />Amendment <br />Bid Award <br />F1 Quote Award <br />C/O & PCA No. <br />El Traffic Control <br />RE <br />for All Submissions <br />Proposal <br />El Req. to Advertise <br />Information <br />PCA <br />Resolution <br />Claim <br />Addendum <br />F-1 Title Sheet <br />LJ Yes U If Yes, Approved by Purchasing <br />No <br />MBE <br />Completed E-Verify Form Attached E] Yes <br />WBE F-1 No <br />Spec A-7-Two or more 2019 3/Ton Extended Cab Trucks <br />Street Department Capital Lease & Interest Budget <br />Sewer Department Capital Budget <br />-0607-431.38.01 & 202-0607-431.38.02 (Street Dept) <br />642-0621-415.43.02 (,Sewer).., <br />-8, -," -6 -0-5 -0, 0 (—$39,907.00 Street) ($78,698.00 Sewer) <br />. ...... ... " - <br />Opening Bid Date: <br />Amount of Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy Original <br />F-� Jeff Hudak <br />Terri Swift <br />. ...... .... <br />Sean Ward <br />For, Chanute Orders Onl <br />Dispersal After Approval <br />