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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/28/19_..._._._._.................. <br />Department <br />Department <br />Naive Sean Ward/Terri Swift Streets <br />BPW Date 6/11/19 Phone Extension 7567 <br />nfm Nm <br />Required Prior to Submittal to Board <br />uu _.::...._ _ <br />BPW Attorney E], Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ Michael Schmidt <br />Check the pare, priate Item q° sae — <br />❑ Professional Services Agreement E] Contract <br />R Open Market Contract R Amendment/Addendum <br />RI, Bid Opening ❑ Bid Award <br />EJ Quote Opening ® Quote Award <br />R Proposal Opening C/O & PCA No. <br />❑ Chg. Order, No. ❑ 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 />Amount of <br />Previous Amount <br />'br All Submissions <br />_._.. ....... <br />F-] Proposal <br />E] Special Purchase, QPA <br />E] Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Sulaedor Access and Door <br />Yes ❑ If Yes, Approved by Purchasing <br />x No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Electric Gate — Public Works Service Center <br />MVH/Sewage Ops & Maintenance <br />202-0607-431.36-01 /641-0621-792.36-01 <br />Option Am- $22,655.00 _ <br />To install electric gates with RFID reader at the Public Works Service <br />Center to limit access to the yard to authorized vehicles and equipment. <br />❑ Increase <br />E] Decrease <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 />