HomeMy WebLinkAboutEncroachment & Revocable Permit - Ivy Court Inn & SuitesBOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date 10/6/2026
Name Dan Jones Department Public Works
BPW Date 10/13/2026 Phone Extension 9245
Required Prior to Submittal to Board
BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovy
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA Chg. Order, No. _____ Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name
New Vendor Yes If Yes, Approved by Purchasing No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Edison Road and SR23 Sidewalk Improvements
Project Number 125-078
Funding Source Account No.
Amount
Terms of Contract
Purpose/Description Encroachment permit for Ivy Court Inn sign; Existing sign being moved to
accommodate new sidewalk installation as part of City project.
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change: Increase Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase Decrease
%
( %) Time Extension Amount:
New Completion Date:
Rieth-Riley Construction Co.