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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />Date 02/08/2018 Department Public Works <br />Name Toy Villa , :1� Division/Bureau Engineering <br />BPW Date 02/27/2018 Phone Extension 5920 <br />F_ Required. Prior to Submittal to Board <br />Legal ❑ Attorney Name: <br />Controller ❑ 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 />n Agreement El Contract LJ Proposal LJ Addendum <br />n Professional Services F-1 Resolution <br />F] Bid Opening R Bid Award E] Req. to Advertise ❑ Title Sheet <br />n Quote Opening El Quote Award <br />E] Change Order No. N C/O & PCA No. 2 Final) n PCA <br />n Ease/Encroach. Traffic Control: <br />F-1 Other: <br />Comipany or Vendor Name <br />New Vendor <br />MBE/' VBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Walsh & Kelly, Inc. <br />0 Yes Z No E] If Yes, Approved by Purchast <br />[:] MBE n WBE <br />F-1 No n Yes Name of Company <br />Fellow Streetscape: Broadway Street to Ewing Avenue <br />i <br />116-041 B (15,1008) <br />MrIVI-Y _ AM <br />324.11050.460.42,03 <br />Terms of Contract <br />Purpose/Description Project Closeout <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of �F-1 increase $ <br />M Decrease $ 12,687.00 <br />Previous Amount $ 471,190.00 <br />Current Percent of Change: (2,69%) <br />New Amount _$ 458,503.00 <br />Total Percent of Change: (1.65% <br />Copy <br />Original <br />F-1 <br />F-1 <br />El <br />