Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: <br />Name <br />1 /25/2024 <br />Gemma Stanton <br />Department of Public Works — Engineering Division <br />BPW Date: February 131h, 2024 Phone Extension: 9083 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />❑� <br />Check the Appropriate Item Type — Required. for 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 />n Other: n Ease./Encroach <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 />Amount of ❑ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />uired Information <br />❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />E] MBE Yes <br />❑ WBE Completed E-Verify Form Attached ❑❑ No <br />Safe Routes to School — Our Lady of Hungary Neighborhood Tree <br />Removal <br />122-007B <br />PR-00030699 <br />324-10-102-121-442001—PROJ00000339 <br />Request to Open/Award at same meeting. Contractor quote for Tree <br />Removal to facilitate Safe Routes to School project in the area. <br />Increase <br />Decrease <br />Increase % <br />Decrease ( %) <br />Increase % <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />