Laserfiche WebLink
• <br /> Contracts Request Form <br /> City of Sunny Isles Beach-Office of the City Attorney <br /> Requests must Include the following information: <br /> (Please check all that are included.) <br /> 1 Contract Name: Design Services fore Wall Under the Lehman Causeway p <br /> 2 Vendor Information: El <br /> • <br /> Name: Ri Behar:3 Company,inc Phone:954-880-7771 <br /> Address: 6881 Sw 195Th Avenue,Suite 302 <br /> Pembroke Pines,FL 33332 <br /> 3 Name and Title of Signatory for Contract: tavier Rodrigo°, ❑ <br /> 4 Original Proposal or Quote on Letterhead <br /> 5 Term <br /> ----Days 6 ------Months <br /> -------Years <br /> 6 Services to be Performed <br /> Design services for a wall under the lehman causeway <br /> 7 Total Cost <br /> ($ 31,031.00 — 39,o3t o 0 <br /> 8 Is this an Addendum or Change Order?(Additional or alternate work for an existing contract.) ❑ <br /> If yes,contract name: <br /> 9 Commission Approval Required? Notes: <br /> Li Yes(If yes,attach agenda memo.) ❑No <br /> 10 Attached are... ❑Three Quotes (Contracts$10,000-$24,999) ® N/A <br /> or <br /> ❑Formal Bid/RFP/RFQ(Contracts$25,000 and over) <br /> 11 Piggy-Back Contract? ❑Yes(If yes,attach original contract from other government entity.) ❑No <br /> 12 Notes: Finn Listed on CCNA Reso2012-1997 <br /> Attachment "A" <br />