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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />02/06/17 <br />Department <br />Public Works <br />Name <br />Toy Villa ,�,J <br />Division/Bureau <br />Engineering <br />BPW Date <br />02/14/17 <br />Phone Extension <br />5920 <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: <br />Controller El greater <br />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 />Agreement ❑ Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />❑ Change Order No. ❑ C/O & PCA No. ® PCA <br />❑ Ease/Encroach. ❑ Traffic Control: <br />n Other: <br />Company or Vendor Name <br />Majority Builders, Inc. <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved b <br />MBE/WBE Contractor <br />❑ MBE El WBE <br />MBE/WBE Contractor Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Marriott Hotel Site Development at Hall of Fame Phase I <br />Project Number <br />116-021 <br />Funding Source <br />RWDATIF <br />Account No. <br />324.1050.460.31.02 <br />Amount <br />$820,196.87 <br />Terms of Contract <br />Purpose/Description <br />Project Closeout <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Chance: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />