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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Au ust 6 2019 <br />Name Charlotte Brach <br />Public Works — Eng. <br />BPW Date August 13 2019 Phone Extension 9246 <br />u uwuwuwwwmwuwi wNwwrmmreormwwfw�wuad�aad�aauuwMuamr www000PEMEm0000wwwwwwmmuuuuuuuuuuuummmuwuuwa <br />....................m.�...._............ ............�. <br />. ..._.....__- .............. Required Prior to Submittal to Board _._........_. . <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ ��� ��� �.,,,,,�......................... __�w.... _. <br />_. _ .... ........::....Check the Ado ,ri aat Item Type.- ", <br />Professional Services Agreement Contract <br />Open Market Contract Amendment/Addendum <br />0 Bid Opening Bid Award <br />❑ Quote Opening Z Quote Award <br />Proposal Opening C/O & PCA No. <br />Chg. Order, No. E] 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 />Rieth-R <br />❑ Yes <br />® No <br />� uirc Information <br />All Submissions <br />l J Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Construction Co., Inc. <br />If Yes, Approved by Purchasing <br />nee Orders Ong �� For Chammmm ww <br />Amount of Increase $..�_ _ .. ...... <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />E19 <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease (�� <br />❑ Title Sheet <br />