Traffic Control Device - No Parking Right Arrow & No Parking Here to Corner - Niles Avenue

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date -Flay "i 2019 Department Public Name Charlotte Brach. Works BPW Date May 1 �4, ll 19 Phone Extension 9246 �u�uiuiuiwwuwimuwwu�mur��mmim mm�uuuuuuumimmwmmuiuuuuwiuwiuwi M� u��mmmw�wwmwwmwmmuwwuwmu¢ iiuimmmrmr iuw�0000mmmmmommmmmmm ._...........,_............... ........_.... Req hired Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney E] Attorney Name ��..... ........... �� ...............� Purchasing ❑ Check the Appropriate Item Tie Ae Professional Services Agreement ❑ Contract Open Market Contract F-1 Amendment/Addendum n Bid Opening E] Bid Award EJ Quote Opening Quote Award n Proposal Opening C/O & PCA No. ❑ Chg. Order, No. ® Traffic Control ❑, Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information All Submissions H Proposal El Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes PCA ❑ Resolution Ease./Encroach ❑ Title Sheet ................... Yes If Yes, Approved by Purchasing ] No ❑ MBE Completed E-Verify Form Attached Yes ❑ WBE [ No Niles Avenue South of Colfax .�.. �....................... TR19._.021 ww��w.��..._._.._....................................._� Y Email to Kara Wood requesting No Parking Signs on Niles Avenue South of Colfax, in front of AM General For Ch�rgiLOrders. Amount of Increase $ Decrease ($ ) Previous Amount $ _ .. Increase %_.............�............... m a.... � �.�.�.�.._..............._� Current Percent of Change: Decrease %) _..... New Amount $ .................................�.�.�.�.�.�.�.�.�.�.........��w ��..... ........................... � � �.....--------_...........,.�.. Increase % Total Percent of Change: Decrease %) . Time Extension Amount: New Completion Date: