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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/19/2019 <br />Department Public <br />Name Becca Plantz <br />Works <br />BPW Date 11/26/19 <br />Phone Extension 5998 <br />-W W ........ <br />Re uired Prior to Submittal to Board <br />BPW Attorney ❑ <br />Attorney Name Clara McDaniels <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑ <br />.........._. ........ <br />Check the A :a ro riat Item T e — R i i (� )r All Submissions <br />Professional Services Agreement ❑ Contract <br />Proposal <br />FJ <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑ <br />Special Purchase, QPA <br />Bid Opening <br />El Bid Award <br />[J <br />Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />El <br />Quote Award <br />E] <br />Reject Bids/Quotes <br />Proposal Opening <br />C/O & PCA No. <br />[:] <br />PCA <br />Chg. Order, No. 1 <br />Traffic Control <br />❑ <br />Resolution <br />Other: <br />❑ <br />Ease./Encroach <br />____ . <br />IR � ired Information <br />Company or Vendor Name <br />M & V Pro Services„ Inc. <br />❑ <br />Yes If Yes, Approved by Purchase ... - <br />Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />WBE ❑ <br />Completed E-Verify Form Attached ❑ Nos <br />Project Name <br />Palais Royale Interior Painting <br />Project Number <br />......._. _ _...... ........... ........._ <br />119-055R <br />Funding Source <br />................. -. __ <br />Historic Preservation <br />Account No. <br />...._......_.. _ ............. _............ ......... <br />450-040 <br />Amount <br />. ............... <br />$34,160.00 <br />Terms of Contract <br />LumpSum <br />Purpose/Description <br />11%;rior aintin in the Palais Royale Ent <br />For Ch n ewOrders On], <br />Amount of ❑ Increase $ 0 _ ..... <br />❑ Decrease $ 0) <br />Previous Amount $ 34160.00 <br />.... __..............._. ................. ..................... <br />Increase 0% <br />Current Percent of Change: Decrease (` 0///0) <br />New Amount $ 34,160.00 <br />Increase 0% <br />Total Percent of Change: Decrease (0% <br />Time Extension Amount: 7 calendar days <br />New Completion Date: 12/02/2019 <br />