Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/3/2019 <br />Department Central <br />Name Adam Parsons Services <br />BPW Date 5/14/2019 Phone Extension 9302 <br />:..�wanrmenr��uw.u�uxxx�u�u�uxxx�u�u�uiu�ui�u�ux�uxxx�u�u�w�w�u�u�u�uuuxxxxxxxxx�u�uu�armur�. �vwttvMdpY 'Ti IrilYlll"�r�4 <br />Required Prior to Submittal to Board <br />......BPW Attorney .. M �. �.....�.. �m. .. _....................................................m. ...._ <br />Attorney Name <br />Dept. Attorney El Attorney Name <br />Purchasing <br />Check the A. <br />Item Type --- i quir edfirr• All Submissions <br />E] Professional Services Agreement ❑ Contract <br />F_� Open Market Contract <br />EJ Amendment/Addendum <br />E Bid Opening <br />[:] Bid Award <br />E] Quote Opening <br />[J Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />® Chg. Order, No. 1 <br />Traffic Control <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 />Tenns of Contract <br />Purpose/Description <br />Required Information <br />Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />0 Reject Bids/Quotes <br />❑� PCA <br />Resolution <br />EJ Ease./Encroach <br />❑ Title Sheei <br />Brown �[J YesIf Yes, Approvedby Purchasing <br />Brown General ontractors, Inc. <br />P������........................._..._.........-w��.�. <br />® No <br />[:]'MBE Completed E-Verify Form Attached Yes <br />[:1, WBE F] No <br />Code EnforcementOfficeImmprovements <br />Code Enforcement <br />600-1201-415.39-89 <br />Lump Sum <br />To adjust the scope of the project to fit the needs of the Code Enforcement <br />office <br />For Change Orders Only ..._... ......._. -..__. .................._...._ .. Increase $ 4,118 <br />_�.�.-. ...... <br />Amount of <br />� <br />Decrease <br />Previous Amount <br />.__Increase......_. ........................-�� . <br />86.22% <br />g C .. W_ <br />Current Percent of Change: Decrease %) <br />New Amount $ 8,894 _ <br />._.Increase .�.—m 86.22.0��.�.�............�..........................�._.....�..........�.�...�a ....-........._ m,�,,,,,,... <br />_.................................._.......... ...............�. ....... ...........,.......... �... <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />..... ....� ..... .... <br />New Completion Date: <br />