Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date October 6, 2020 <br />Department Utilities — <br />Organic Resource <br />Name Andrea Alexander Facility <br />BPW Date October 13, 2020 Phone Extension 5813 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re uired or All Submissions <br />❑ Professional Services Agreement ❑ Contract ® Proposal <br />❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />I-1 Other: I -I Ease./Encroach <br />Information <br />Company or Vendor Name <br />Keramida Inc. <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBYes <br />MBE/WBE Contractor <br />E Completed E-Verify Form Attached <br />❑ ❑ No <br />Project Name <br />Nitrate Source Investigation <br />Project Number <br />Funding Source <br />Closed Landfill Monitoring <br />Account No. <br />641-06-605-515-439013 <br />Amount <br />$19,125 <br />Terms of Contract <br />Purpose/Description <br />Follow Groundwater Monitoring Plan required by Post -Closure Plan of <br />Biosolids Lagoon 44 <br />For Change Orders Only <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease ( %) <br />New Amount <br />$ <br />Increase % <br />Total Percent of Change: <br />Decrease ( %) <br />