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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />December 5, 2017 <br />Tara Weigand <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date December 12, 2017 Phone Extension 5998 <br />Legal Attorney Name: <br />Controller Controller review is required for all Contracts $5,000.00 or imore and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />H! Agreement Amendment <br />H Contract LJ Proposal ILJ Addendum <br />F-1 Professional Services <br />El Resolution <br />El Bid Opening <br />El Bid Award El Req. to Advertise El Title Sheet <br />F-1 Quote Opening <br />n Quote Award <br />❑ Change Order No. <br />0 C/O & PCA No. F1 PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />F-1 Other: <br />Company or Vendor Name B.C. Mechanical, Inc. <br />El Yes FI No If Yes, Approved by <br />New Vendor Purchasing <br />MBE/WBE Contractor F-1 MBE R WBE <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />L] No LJ Yes Name of Company <br />Studebaker Museum Rooftop Unit Replacements <br />117-081 <br />Liability Insurance Fund <br />226-0417-672-39-01 <br />$157,000.00 <br />Completion Date May 14, 2018 <br />Replace damaged rooftop units at the Studebaker National <br />Museum. <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc,) <br />Amount of El increase $ <br />E] Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />M F-1 Roger Nawrot, Assistant City Engineer <br />F1 Tom Cook, M/E Designs <br />"2,vI CAs e <br />