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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/06/2018 Department Public Works <br />Name Toy Ville Division/Bureau —Engineering <br />BPW Date 02/13/2018 Phone Extension 5920 <br />Required Prior to Submittal to Board <br />Legal E] 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 F <br />LJ1 Agreement Amendment H Contract L Proposal L] Addendum <br />El Professional Services F1 Resolution <br />F1 Bid Opening F1 Bid Award F1 Req. to Advertise Title Sheet <br />F1 Quote Opening F1 Quote Award <br />F-1 Change Order No. M C/O & PCA No. 1 (Final) F1 PCA <br />EJ Ease/Encroach, F] Traffic Control: <br />El Other: <br />Required Information - <br />Company or Vendor Name R & R Excavating, Inc. <br />El Yes M No If Yes, Approved by <br />New Vendor Purchasing <br />MBE/WBE Contractor F-1 MBE E] WBE <br />MBE/WBE Contractor Requested ❑ No [:] Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of L] Increase <br />171 Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Fire Station #9 Demolitions <br />EMS Capital <br />287.0902A2Z36.01 <br />Project Closeout <br />El Required Contractor's Certification, Forms Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc. <br />$7,950.00 <br />104.450.00 <br />7.61% <br />Copy <br />Original <br />❑ Kara Boyles, City Engineer <br />❑ Roger Nawrot, Assistant City Engineer <br />El <br />n <br />