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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/O1/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 07/03/2019 Phone Extension 3057 <br />�wu�wuwwmimmu� uwuvrcmim�m�mauui�r� mwd�imrm� <br />... ............ <br />Required, Prior to Submittal to Board <br />w_..__w.�.........:___....... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Z Attorney Name Sandi Kennedy <br />_ ..........._... <br />Purchasing � ,,,�.���_._.._ ...w_........... <br />Pro_ Check theme ariat Item �1 y 0 ' m�c�c1 <br />fessional Services Agreement Contract <br />—I Open Market Contract F] Amendment/Addendum <br />❑ Bid Opening ] Bid Award <br />] Quote Opening Quote Award <br />] 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 />Terms of Contract <br />Purpose/Description <br />Amount of 0 <br />F1 <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Information <br />All Submissions <br />JI Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />® Reject Bids/Quotes <br />] PCA <br />❑ Resolution <br />Ease./Encroach <br />LJ YesH If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached <br />WBE <br />Commerce Center — Architectural Precast Concrete Panels <br />119-030 <br />RiverEast...TIF...�..........�....................................,,,,,,,���...................�.�.�.�.............�...........�.__� .�.....�... <br />429-1050-460-42.02.............................. <br />�...................._�... <br />Reject all bids and re -bid due to missed schedule. <br />For Cha Orders <br />Increase <br />Decrease <br />Increase % <br />Decrease %1 <br />Increase % <br />Total Percent of Change: Decrease % <br />Time Extension Amount: <br />New Comnletion Date: <br />❑ Title Sheet <br />[]Yes <br />[] No <br />