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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/17/2020 <br />Name Zach Hurst Department DPW <br />BPW Date 03/24/2020 Phone Extension 3057 <br />Review and Ap roval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing El <br />Check the Atmronriate Item Tvne - <br />L J Professional Services Agreement L 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 />Other: <br />_._._..._ . ................... <br />Required uired Information <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 />(I n'. All Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheet <br />® Reject Bids/Quotes <br />PCA <br />El Resolution <br />Ease./Encroach <br />Yes F-� If Yes, Approved by Purchasing <br />No <br />MBE <br />MBE Completed E-Verify Form Attached ❑ Nos <br />Gemini at Colfax — Exterior Renovations <br />H 9- 103, Division B (Masonry Repairs) <br />RWDA TIF, WWDA TIF <br />324-1050-460-42.02. 422-1050-460-42.02 <br />Reject three bids received as raon-res aonsive. <br />..—._ ............................ ................ <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease 1. ITmmmIT% <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />