Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date .............. 2/5/2020 <br />Department - <br />Name ..............Pam ale„r DCI <br />BPW Date 2/25/2020 Phone Extension 5845 <br />���rmmmuuummi�m�w r n uummi�.w�w,w �.mm�re�r�wuum,^ump�nnum�mmmrvmuu�w�mwnmrmmniwm wmuuuww�wu�wm i�mr�uuu rr�w�����iuw <br />Diversity Compliance <br />and Inclusion Officer <br />Review and <br />Prior to <br />Officer Name Aladean Dc],Zose,/M. Patton <br />BPW Attorney `"' <br />Attorney Name 11arikM <br />Dept. Attorney <br />AttorneyName Sa��a�l'u� �� I�a� �t��egal <br />Purchasing <br />INfichael Selauunidtl <br />...R., ..... <br />Check,t t Item �"ypt� -Required t�r° All Submissions <br />Professional Services Agreement ���� ��� <br />�� � Contract Proposal <br />EJ Open Market Contract <br />0 Amendment/Addendum.•.• Special Purchase, QPA <br />E] Bid Opening <br />E] Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />E] Quote Opening <br />E] Quote Award E] Reject Bids/Quotes <br />Proposal Opening <br />E] C/O & PCA No. El PCA <br />Chg. Order, No. <br />(❑ Traffic Control Resolution <br />�' O then: <br />Ease./Encroach <br />ect ryrwt wInformation <br />CompanyorVen or Name <br />�M�tI���Q <br />harat�a��,l-�a 1�aw,�I�����N�pp��� 9�,�!�b Pur <br />� �ta��ai t���aaai�atla�aaa <br />Yes If Yes Approved y chasing <br />New Vendor <br />❑❑ No <br />MBE/WBE Contractor <br />MBE WBE Completed E-Verify Form Attached No es <br />❑❑ <br />Project Name <br />'a�a vte.�� nds w e <br />rs �v <br />raamaal atl,�1�°t��.. <br />Project Number <br />20J007aa� u_�,µ_.... ........ ._. � _m...............a. <br />Funding Source <br />.,mow- ..•.. •...M_.�..m... .0 � a �.. � ....�� ....... _. •u,.�.�__.�.. �.... .....w.. � e..•.....�_� <br />EDIT <br />Account No. <br />�..w... -.._ ._ w--•••- <br />408.1001.39.30� <br />Amount <br />75,000,00 <br />Terms of Contract <br />January ] 2020 Decemlaea 31 2020 <br />Purpose/Description <br />",sty 1,� I a a, 9 as l aaag to sall hs � t C Gj t t _4ja.w� k In natrdic"I lµli <br />r lttt al„1a atN oaas rcsidcritial�a�btl coaam-le ci"'ll dev laal wIl' a Nlt;f aar.... t; <br />with noillic ass <br />grganzaiton <br />Amount of <br />Previous Amount <br />Increase $ <br />Decrease (; <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Total Percent of Change: Increase <br />