Change Order No. 1 - Century Center Electrical Distribution Upgrades - Days Electric

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Date 8/16/2016 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Department Public Works Name Richard Estes Division/Bureau Engineering BPW Date 8/23/2016 Phone Extension 5896 Required Prior to Submittal to Board Legal ® Attorney Name: Michael Schmidt Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® George King Check the Appropriate Item Type — Required for All Submissions ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ® Change Order No. 1 ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control: ❑ Other: Required Information Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of Electric L] Yes Z No ❑ If Yes, Approved by Purchasing ❑ MBE WBE ❑ No ❑ Yes Name of Company Century Center Electrical Distribution Upgrades 116-007 Hotel -Motel Tax 7304-42010-0000-0099 Cost increase to address issues discovered during the thermal scan, and to fix the light fixtures on the North Bridge. ❑ Required contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Increase $ 1 Decrease $ Previous Amount Current Percent of Change: New Amount Total Percent of Chanae: Copy Origina ® ❑ ® ❑ ® ❑ For Change Orders 32.08 $ 16,U69.U0 16.34% $ 88,501.08 16.34% Scott Herczeg — Century Center Leanna Belew — Century Center Brandon Gerlach —