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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />Date 03/13/2018 Department Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />0�3/27/2018 <br />Phone Extension <br />5920 <br />Legal F-1 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 />Purchasing ❑ <br />Agreement Amendment <br />Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No, <br />Ease/Encroach. <br />Other: <br />H Contract <br />❑ Resolution <br />Bid Award <br />❑ Quote Award <br />C/O & PCA No. 1 Final) <br />F-1 Traffic Control: <br />Proposal H Addendum <br />F] Req. to Advertise [:] Title Sheet <br />am <br />Company or Vendor Name <br />Rieth Riley Construction Co,, Inc. <br />[_1 YesE:1 No If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBEANBE Contractor <br />[:] MBEF_J WBE <br />MBEANBE Contractor Requested <br />0 No Yes Name of Company <br />Project Name <br />Downtown Mill and Asphalt Overlay <br />Project Number <br />117-052 <br />Funding Source <br />RWDA TIF <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Project Closeout <br />Amount of LJ Increase <br />M Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />n <br />n <br />F1 <br />n <br />11 <br />n <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />R., <br />$5,691,62 <br />211.516.87 <br />2,691% <br />$ 205,825.25 <br />2.69% <br />