Public Works and Transportation

PUBLIC WORKS DEPARTMENT

COUNCIL AGENDA CHECKLIST AND ROUTING SCHEDULE

Project: ______

Agenda Date: ______Council Action: ______

Item due to Agenda Coordinator: ______GFE Group: ______

CHECKLIST

Council District(s) ______Confirmed by: ______

(Note: If more than one district, split financing on Agenda Information Sheet – Fiscal Information Section)

______Contract Worksheet Paperwork forwarded to City Attorney’s Office

(Please check to confirm submission of contract paperwork to CAO, or indicate N/A if not applicable)

______Certificate of Insurance submitted to Risk Management

(Please check to confirm submission of paperwork to Risk Management)

______Agenda Information Sheet

(Include original estimate in Bid Information Section)

______Good Faith Effort Summary

(Include vendor numbers and encumbrance numbers)

______Map(s)

______Resolution

______Scope of Work (per Director include with each Agenda item)

______Fact Sheet/Impact of Deferral Statement

______Funding Request Form

(Signed by a budget manager)

______Form 1295 – Certificate of Interested Parties

This schedule prepared by: ______

Route to Initial Date Comments

Project Manager ______

Program Manager ______

Assistant Director ______

Financial Manager ______

Agenda Coordinator ______

PBW-FRM-105 Revision 2 4/11/16