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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/7/19.....�....... <br />Name Kim Thompson Department Utilities <br />BPW Date 10/22/2019 Phone Extension 5969 <br />mmmmmw�m raur uuuuuuuuuuwm mmmmmu m�W �m ra w mumu�mmm00000 UM i <br />0/ <br />ubmittal to Board <br />BPW Attorney Z Attorney Name Clara McDamels <br />Dept. Attorney Attorney Name <br />Purchasing ® Michael Schmidt <br />Item Type <br />❑ Professional Services Agreement ❑ Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />ElOther: <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 />All Submissions <br />L Proposal <br />El Special Purchase, QPA <br />® Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />...�..es❑ If Yes, Approved by Purchasing <br />.....................�.._____Y ❑ g. ......... <br />Y hasin <br />❑ No <br />MBE Completed E-Verify Form Attached El Yes <br />BE [] No <br />Water O&M <br />620-0630-711.61-02 <br />_Advertise for contractors to participate in Water Service Line Repair <br />Program <br />❑ Increase _$ <br />Amount of_�__� ���-.---.- <br />El Decrease..mm <br />Previous Amount $ <br />Increase ........m____o�o.., m.�� 'L�� <br />Current Percent of Change: Decrease /o�22 <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease %) <br />.. .. <br />Time Extension Amount: <br />New Completion Date: <br />