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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/17/2019 Department Public Works <br />�.. . <br />oy Villa Division/Bureau Engineering <br />Name T...... :.. - <br />BPW Date 06/25/2019 Phone Extension 5920 <br />MIY�Y�Y�IUI�NNIYINBIGvkts:;w`�tiNW'if�'v?I VWI^INVNN'tle,.P .,a. ,v—„,rv.:sm�...c^50D MW!WWNVWIV4IVWNWNWYAS' 4�3 ,'+,+ri yeti:_+<aaa�wuuNPMBNIY��PH1"XYiA�IPIfl!!!VMPN9�PMMMY,`M;4i�k'"�'..c5i <br />m mm _ Required Prior to Submittal toy Board <br />Legal ❑ Attorney Name: <br />Controller 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 E] <br />Check the <br />L Agreement Amendment <br />El Professional Services <br />Bid Opening <br />El Quote Opening <br />El Change Order No. <br />❑ Ease/Encroach. <br />Other: <br />ropriate Item Type — <br />I � Contract <br />E] Resolution <br />or All Submissions <br />roposaI <br />EJ Bid Award E] Req. to Advertise <br />El Quote Award <br />® C/O & PCA No. 1 Final ❑ PCA <br />❑ Traffic Control: <br />Reauired Information <br />Company or Vendor Name Selge_Construction <br />Terms of Contract <br />Purpose/Description Project Closeout <br />New Amount $ 100,619.41 <br />Total Percent of Chance: 3.96% <br />Dispersal After <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />Addendum <br />❑ Title Sheet <br />