Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 18, 2017 <br />Name Tara Weigand <br />Department <br />�Division/Bureau <br />Public Works <br />Engineering <br />BPW Date December 21, 2017 Phone Extension 5998 <br />.... . ......... <br />Legal El Attorney Name: <br />Controller El 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 El <br />"Agreement Amendment <br />El Professional Services <br />Bid Opening <br />❑ Quote Opening <br />Change Order No. <br />❑ Ease/Encroach. <br />F-1 Other: <br />9 Contract <br />FE_ Resolution <br />Bid Award <br />Quote Award <br />JB C/0 & PCA No. <br />N Traffic Control: <br />Proposal LJ Addendum <br />M Req. to Advertise F1 Title Sheet <br />am <br />Company or Vendor Name <br />Ram Construction Services of Michigan, Inc. <br />El Yes, H No ❑ If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBEIVVBE Contractor <br />E] MBE F-1 WBE <br />MBEA1VBE Contractor Requested <br />0 No 0 Yes Name of Company <br />Project Name <br />Leiqhton Deck Coatings - Phase 11 <br />Project Number <br />117- 092 <br />Funding Source <br />River West TIF <br />Account No. <br />324-1050-460-42.03 <br />Amount <br />$189,000.00 <br />Terms of Contract <br />Unit Prices <br />Purpose/Description <br />Seal concrete decks (3-6) of the Leighton Parking_parage.. <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required, For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />$ <br />Previous Amount $ <br />Current Percent of Change: <br />% <br />New Amount <br />Total Percent of Change: <br />% <br />Copy <br />Original <br />M <br />RI Roger Nawrot, Assistant City Engineer <br />M <br />F] Aaron Perri, VPA <br />❑ Beth Leonard, DCI <br />