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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE VIEW REQUEST FORM <br />Date 03/20/2018 <br />Name Patrick Sherman Department -Venues Parks & Arts <br />BPW Date 03/27/2018 Phone Extension 5601 <br />Required, Prior toS0brnitt�lJo, 0,,ojard <br />Legal Attorney Name Clara McDaniels <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 />Purchasing <br />H Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />F-1 Quote Opening <br />Change Order No. 1 <br />❑ Ease/Encroach. <br />Other: <br />H Michael Schmidt <br />" Contract <br />F-1 Resolution <br />F-1 Bid Award <br />n Quote Award <br />El C/O & PCA No. <br />El Traffic Control <br />Proposal <br />Ej Req. to Advertise <br />am, <br />El Title Sheet <br />Company or Vendor Name <br />M&V Pro Services <br />New Vendor <br />F-1 Yes M No El If Yes, Approved by Purchasing <br />MBEANBE Contractor <br />MBE Z VVBE <br />MBENVB,E Contractor Requested F] No E] Yes Name of Company <br />Project Name <br />Morris Bistro Renovation <br />Project Number <br />1045-2018 <br />Funding Source <br />Joint Licensing Fund <br />Account No. <br />N/A <br />Amount <br />$35,652.90 <br />Terms of Contract <br />Project completion by 04/30/2018 <br />Purpose/Description <br />Additional repairs needed for unforeseen water <br />damage/mobilization. <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc.) <br />Amount of Increase $1,875.00 <br />❑ Decrease $ <br />Previous Amount $ 33,777.90 <br />Current Percent of Change: 6% <br />New Amount $ 35,652.90 <br />Total Percent of Change: 6% <br />Dispersal After Approval <br />Copy Original <br />F-1 n <br />El El <br />