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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/16/2016 <br />Department Community <br />Name Chris Dressel Investment <br />BPW Date 8/23/2016 Phone Extension 5847 <br />L Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Check the Appropriate Item Type — Required for All Submissions <br />® <br />Agreement <br />❑ Contract ❑ Proposal ❑ Addendum <br />® <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />n <br />Other: <br />required information _ <br />Company or Vendor Name Hull and Associates, Inc. <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Groundwater Remedy and Quarterly Sampling Plan — Oliver <br />Project Name Industrial Park <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Studebaker/Oliver Revitalization Grant Fund <br />209.1401,460.31.02 <br />$ 491,160.00 <br />8/2016 — 3/31 /2019 <br />Groundwater Remedy and Quarterly Sampling Plan — Oliver <br />Industrial Park <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of U Increase <br />❑ Decrease <br />Previous Amount <br />Current Percent of Change: N/A <br />New Amount N/A <br />Total Percent of Change: N/A <br />Dispersal After Approval <br />Copy Original <br />❑ ® DCI — Chris Dressel <br />❑ ® Hull and Associates <br />❑ ❑ <br />