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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/18/2019 <br />Department Public <br />Name Zach Hurst Works / Engineering <br />BPW Date 07/23/2019 Phone Extension 3057 <br />o �w���iuiuoi�om�u�uwuu�mimmiHomuuiuwiuwuwll�m�r� iuiuiwuu�iuiuiu�uw�r,mn�ru�imuimuiummrRvimuiyiyi. .. , u�rvrm✓r�mw.n�vvw �w�u�u�u�w�w�uu�u�������ruu,�iuiuiuwimuiuiw�i� ,... �,w,m�w,v <br />Ell <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑] <br />Check? o t Item �I Lc :.: li"��� uir Cd /rr All Submissions <br />Professional Services Agreement <br />[� ee <br />Contract <br />❑] Proposal <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award <br />E] <br />Req. to Advertise ❑ Title Sheet <br />[l Quote Opening <br />® Quote Award <br />EJ <br />Reject Bids/Quotes <br />Proposal Opening <br />❑ C/O & PCA No. <br />❑ <br />PCA <br />El <br />Chg. Order, No. <br />❑ Traffic Control <br />Resolution <br />El Other: <br />❑ Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />Brite Electric, Inc. <br />New Vendor <br />Yes If Yes, Approved by Purchasing <br />Z No <br />El Yes <br />MBE/WBE Contractor <br />WBE Completed E-Verify Form Attached <br />No <br />Project Name <br />Technolo4 Resource Center - low -voltage on services <br />y _ e installation �.......--- <br />Project Number <br />118-090 <br />Funding Source <br />IT Professional Services <br />Account No. <br />279-06 ..� ._.15. -. <br />72-415.31-06 <br />Amount <br />.....$ ......m..m....,.,.,.,.n�. <br />35,900.00 <br />Terms of Contract <br />Lump S .... <br />um _ <br />Purpose/Description <br />Award quote to a Contractor to Eroyide low-volta a installation services for <br />the Technology Resource Center at Ignition Park. <br />... _.__ __._.. <br />_. ....... ........ ..... <br />For Orders Only <br />Amount of <br />Increase <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />...........................................................................................�..... �......... ........ _ ,,,................................................. <br />$ <br />.�W...........................,, o _ ................. <br />Increase /o <br />Current Percent of Change: <br />Decrease ( %) <br />New Amount <br />.... -.... ......an <br />$ <br />. ....w�/oo- <br />Increase................................................................................ <br />_ <br />Total Percent of Change: <br />Decrease /o <br />Time Extension Amount: <br />New Completion Date: <br />