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BOARD OF PUBLIC WO ?.IDS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/20/2018 Department Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />—Engineering <br />BPW Date <br />03/27/2018 <br />Phone Extension <br />5920 <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 El <br />" Agreement Amendment <br />El Professional Services <br />F-1 Bid Opening <br />Quote Opening <br />Change Order No. 1 <br />Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBENVBE 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 <br />Previous Amount <br />Burkhart Sian <br />L Proposal <br />El Req. to Advertise <br />F1 PCA <br />on <br />LLC <br />R Title Sheet <br />Ll Yes Ll No U If Yes, Approved by Purchasing <br />[:1 MBE [:1 WBE <br />El No D Yes Name of Company <br />Morris Performing"Arts Center Marquee Display Installation <br />11 7-070A <br />Morris Capital Fund <br />416-0404-453,43-08 <br />Unforeseen circumstances for ventilation modifications to the <br />Marquee Structure, <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Z increase $15,600.00 <br />E] Decrease <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />$19,000.00 <br />82,11% <br />Copy Original <br />Kara Boyles, City Engineer <br />Patrick Sherman, VPA <br />El El <br />