Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />09/04/2019 <br />Toy Villa <br />Department: Engineering <br />BPW Date 09/10/2019 Phone Extension 5920 <br />////&D1WW@IPPWMIW!WWMIW!WWWWWWMW.MW.tWm/ TIHHMMR�IWWM.WIW MNMP'PImIMHfflWllWllWWW.WIWWW'W'WIN'MtlIVIVIVAMX4� WaWlk �YnIoWNIG,�OW <br />_..- _�.��,.,.. ......._ .cmurrd Prior to Submittal.__.�._m_m___.... ��., ._ __.._W............... ... <br />to Board _.�. _...... <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing El <br />_ ... Check the A1.)pro1:.) iat .Item s u ir <br />❑ Professional Services Agreement F-1 Contract <br />El Open Market Contract ❑ Amendment/Addendum <br />E] Bid Opening ❑ Bid Award <br />E Quote Opening E] Quote Award <br />Proposal Opening [:1 C/O & PCA No. <br />[� Chg. Order, No. ❑ Traffic Control <br />F] 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 />Project Closeout <br />Information <br />for All Submissions <br />.._..._._.�. ....... <br />E] Proposal <br />Q Special Purchase, QPA <br />F-1 Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />® PCA <br />0 Resolution <br />F-1 Ease./Encroach <br />..a _ <br />_ ... <br />For Cliangc OrdersOnly <br />Amount of El�$ <br />Increase ... _. .... <br />El <br />Decrease.. <br />Previous Amount <br />$ <br />.. .............. _...� <br />...m.....�...�__ <br />Increase <br />...��.�............................................�___ <br />o� <br />0 <br />Current Percent of Change: <br />Decrease <br />._ <br />New Amount <br />$ <br />Increase _.. <br />Total Percent of Chan g e: <br />Decrease �..... <br />............... <br />Time Extension Amount: <br />New Completion Date: <br />