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Date <br />Name <br />Toy Villa <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 03/13/2018 Phone Extension 5920 <br />Legal F-1 Attorney Name: <br />Controller Ei Controller review is required for all Contracts $5,0001.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. <br />Ease/Encroach. <br />Other: <br />LJ Contract <br />F1 Resolution <br />El Bid Award <br />F-1 Quote Award <br />M C/O & PCA No, 2_Final) <br />M Traffic Control: <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 />FWATITIOWSM0 <br />1074410107 17, <br />E] Req. to Advertise El Title Sheet <br />HRP Construction, Inc. <br />Yes Z No ❑ If Yes, -Approved <br />E] MBE E] WBE <br />L1 No El Yes Name of Company <br />Newman Center Site Development <br />11 7-06OR <br />REDA TIF <br />429-1050-460-42.03 (Division B & C) <br />Project Closeout <br />Purchasin <br />0 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Increase $8,364.16 <br />Decrease $ <br />Previous Amount $ 206,756.54 <br />Current Percent of Change. 4.05% <br />New Amount $ 215,120701 <br />Total Percent of Chanae: 16.69% <br />Copy <br />Original <br />F-1 <br />F-1 <br />El <br />1-1 <br />El <br />El <br />