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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/13/2019 .�Department -Central Services <br />Name Adam Parso.ns�..................................���.....................................m..... _ ...�........�aw—.,� <br />Division/Bureau <br />BPW Date 6/25/2019 Phone Extension 9302 <br />uuau+m�^¢a�w��✓ a=u�u�.uwwwwwwwwwuwumxvi�rv�rv�mivumu��mmmouuuminuu�urcvrrrr.xm.�,rmwwmwr ...ter, ,� u�,,,«.,—,.,_re�a,�u .. ww�w00sz�ro:, <br />.. — _.._ _ R used Prior <br />----. -. - <br />�� r to Submittal to Board <br />Legal.. ...... ..��._�w� - .�... _ <br />F-1 Attorney Name: Clara McDaniels <br />Controller E Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing n <br />�. Check the A�at Item.. <br />�] Contras Tyemm Refired for All Submissions �w <br />AgreementEJ Amendment t E Proposal El Addendum <br />❑ Professional Services El Resolution <br />❑ Bid Opening ❑ Bid Award El Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ® Quote Award <br />❑ Change Order No. F1 C/O & PCA No. [l PCA <br />❑ Ease/Encroach. El Traffic Control: <br />Other: <br />Company or Vendor Name <br />Brown & Brown General Contractors„ Inc. <br />�. �.._�N_._........ <br />��_..,,_...� fY�.......-__- <br />�] Yes ❑ , Approved by <br />New Vendor <br />Purchasingmm m <br />MBE/WBE Contractor <br />MBE ❑ WBE <br />MBE/WBE Contractor Requested <br />q <br />-._.........._ mmmmmm <br />No O Yes Name of Company <br />Project Name <br />Code Enforcement Door Installation <br />Project Number <br />mm................. . ........... _ . ...... <br />19-032 <br />Funding Source <br />�..................- <br />Code Enforcement <br />Account No. <br />600-1201-415.39-89 <br />Amount <br />$3,148.00 <br />Terms of Contract <br />..................................m....._.... .............. ........... ��..m_a �_. � � ......._- <br />Lump Sum _ <br />.. _..�_��.. � <br />Purpose/Description <br />Install door to provide privacy and noise can atio � � <br />cancellation for office <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change % <br />..__..,� ............�...........ww ,al After A_; ..royal .... �� ._.....�. <br />................._...........Diset._.w�..__.,� �.m..... . <br />Copy Original <br />® ❑ Tracy Skibins -_Director, Code Enforcement <br />® ❑ Ron O'Conner - Director of Finance, Code Enforcement <br />nt <br />❑ ❑ <br />