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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/24/2.01.9...................................r� �_...� ......................... <br />Name To Villa Department Engineering <br />�.. .........m. _.----....... .. <br />BPW Date 10/08/2019 Phone Extension 5920 <br />...�PuaJPPPPMMEm00000000mmm�mmmm PPPMmmmmmmmmmmm�� asiamaRaaN �N i oommmoMIMMummuu EMMM mm r� mov�uwwww�uwwwwu�wuwwiWOWIuuiuiuiuu1pwffivffm wm <br />.... .......................... .......... �,�, ........... ......... <br />egtjirdPrior to Submittal to Board <br />BPW Attorney El Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the Appropriate Item Type <br />Professional Services Agreement [:] Contract <br />El Open Market Contract F-1 Amendment/Addendum <br />[] Bid Opening <br />F-1 Bid Award <br />]' Quote Opening <br />0 Quote Award <br />Proposal Opening <br />® C/O & PCA No.l Final <br />E Chg. Order, No. <br />❑ Traffic Control <br />0 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 />Information <br />All Submissions <br />❑ Proposal <br />El Special Purchase, QPA <br />FI Req. to Advertise <br />Reject Bids/Quotes <br />0 PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />K & R Tree Service <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />2019 Tree and Stump Removal <br />119-012 <br />MVH <br />619.431.31.06 <br />Project Closeout. <br />Forhgo�Orders Only <br />. _-. w. _ . ._ q.. <br />Amount of ❑ Increase $ <br />Decrease <br />_..$ 2,312 0p <br />Previous Amount $ 27,055.00 <br />.an..... _ .. ww ,.., - - - .. .. .....-�_�,. <br />Increase % <br />Current Percent of Change: Decrease (8 55%) <br />New Amount $ 24,743.00 <br />Increase /o <br />Total Percent of Change: Decrease (8 55%) <br />Time Extension Amount: <br />w Completion Date: <br />