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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />12/07/17 <br />Department <br />Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />12121/17 <br />Phone Extension <br />5920 <br />Legal F1 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 />H <br />Agreement <br />H Contract H Proposal ILJ Addendum <br />F <br />Professional Services <br />0 Resolution <br />F Bid Opening <br />F1 Bid Award E] Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />F1 Quote Award <br />E] <br />Change Order No. 1 <br />F1 C/O & PCA No. PCA <br />F-1 <br />Ease/Encroach. <br />F-1 Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of M <br />El <br />Walsh & Kelly, Inc. <br />El Yes El No 0 If Yes, Approved by Purchasing <br />El MBE El WBE <br />El No El Yes Name of Company <br />Marriott Hotel Site Development at Hall of Fame Phase 3 <br />117-064 <br />RWDA TI IF <br />324-1050-460.42.,03 Division A & B <br />Approval of C.O. #1. <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Increase $,5,646.90 <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />R <br />E] <br />F-1 <br />R <br />El <br />D <br />$ 228,191.56 <br />2.47% <br />$ 233,838.46 <br />2.47% <br />