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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/15/2020 <br />Name Daniel Bu+ckenme er Department DCI <br />BPW Date 01/2I/2020 Phone Extension 5823 <br />�% +v IIIIIII�IIWTP�WNIfYf'W��88iY�iiifllN�YNIWIpWi�I1hH/MEyY9i"' ,,,,, VIVIVIVIVIVIVIVIVIVINOIOfvNVix»++»»^ <br />......._......�,�,�........u......,,�,,,.,.,w ,� „ _�._... <br />......---- <br />.,� �..-. ............ ,_.... ......�,....w ����....m .�,�.. <br />Required Prior to Submittal to Board <br />BPW Attorney E:1 Attorney Name <br />Dept. Attorney X Attorney Name Sandra Kenn el <br />............. ....... <br />Purchasing <br />Check the <br />0 Professional Services Agreement <br />EJ Open Market Contract <br />Bid Opening <br />Quote Opening <br />Proposal Opening <br />E] Chg. Order, No. <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 />i4 Item l" rpe <br />x Contract <br />❑ Amendment/Addendum <br />El Bid Award <br />Quote Award <br />C/O & PCA No. <br />Traffic Control <br />Information <br />Gonzalez <br />All Submissions <br />Proposal <br />LJ Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Yeses If Yes, Approved by Purchasing <br />❑ Title Sheet <br />No <br />❑ WBE Completed E-Verify Form Attached No <br />Patwa s <br />'... Program <br />EDIT <br />404-1001-460-3 mm........, <br />9.30 <br />$69,000 <br />Consultant for Pathways Workforce Program <br />......._ or Ch!V a er Oily <br />Amount of ❑ Increase $ <br />❑ Decrease$ <br />............... w___.......... <br />Previous Amount $ <br />Increase .��................ . %_.._..���...����.. <br />_. <br />Current Percent of Change: Decrease %) ITmm ..._ ......ww <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />New Completion Date: <br />