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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/28/19 Department Public Works <br />Name Kyle S i...Ive u s ,,..... �.. ................................. <br />y Division/Bureau Engineering <br />BPW Date 7/9/19 Phone Extension 9083 <br />�io�swuw mmrmrrr�mwwmuw�um�wuumuou�umummomoemmmmmmmmow�w�vmmu��umwrmw¢m�m���u�imuri�iwrui�i!mi mmmmmmmmmui�w�durnrcm���m�mui momrvm iwnwmaanmaanr �w�ua�m��mimimimimuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuarrv�nrrwuvia <br />... .,. __........._. —Required .. .................�..., .....W.W. <br />Re uired Prior to Submittal to Board <br />Legal E] 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 El <br />Check the <br />U Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />Quote Opening <br />® Change Order No. 2 <br />❑] Ease/Encroach, <br />11 Other: <br />)ropriate Item Type - <br />Contract <br />El Resolution <br />❑ Bid Award <br />D Quote Award <br />El C/O & PCA No. <br />Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />for All Submissions <br />I Proposal <br />[❑ Req. to Advertise <br />uired Information <br />[:] PCA <br />Addendum <br />❑ Title Sheet <br />ama a uardrail,Re airs No police report or Insurance <br />