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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/3/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 6/11/19 Phone Extension 5998 <br />�wuuuwiwuwuwuuiuiuiuiuwiuiuwuwuuirvv a a- ., a-- cxwaaaa�ac c�nourww a�awu ias w�rv�rv�rv�rv�rvw�mouuuuuuwuwmmi�m rurmcv�nwnw ,,,R.. w Mill <br />._...... �.,, .�....,�.�... . ............ _. ...e ...,,��............... ...�,.�_�._.�._ <br />Cecu��mcrl Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />.... . <br />Purchasing <br />Check the <br />Professional Services Agreement <br />❑I Open Market Contract <br />Bid Opening <br />❑ Quote Opening <br />❑ Proposal Opening <br />Chg. Order, No. <br />Other: <br />a�'iate Item I" <br />I-1 Contract <br />EJ Amendment/Addendum <br />El Bid Award <br />Quote Award <br />C/O & PCA No. <br />E] Traffic Control <br />Kejc ,red Information <br />All Submissions <br />Lf Proposal <br />❑' Special Purchase, QPA <br />Ej Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Office Interiors <br />_ <br />Yes. ....If Yes, Approved Purchasingby..... .......................w <br />New Vendor <br />No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name <br />Century Center Office Furniture m..........................._...........� .......... ................... <br />Project Number <br />118-104B <br />Funding Source <br />......Hote1...Motel Tax Fund <br />Account No. <br />7304.42010.000.0099 <br />Amount <br />............ <br />29 <br />$75 797.� <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Award FF&E furnishin in the existing office „space of theCenturyCenter. <br />��m... ... ..�.. <br />....... ............ ... _... _.. <br />ang Orders Ont <br />— For .m..,,,,_......� li�e...e.w <br />Amount of <br />Increase <br />Decrease ($ ) <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease ( % <br />