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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 17, 2018 <br />Name Tara Weigand <br />Department Public Works <br />Division/Bureau Engineering <br />BPW Date April 24, 2018 Phone Extension 5998 <br />Required Prior to $u1pnii-ttalto Board <br />Legal Attorney Name: Clara McDaniels <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 />LJ Agreement Amendment <br />LJ Contract H Proposal El Addendum <br />F1 Professional Services <br />El Resolution <br />F-1 Bid Opening <br />El Bid' Award Req. to Advertise F-1 Title Sheet <br />F-1 Quote Opening: <br />F-1 Quote Award <br />El Change Order No. <br />F-1 c/o & PCA No. Q PCA <br />n Ease/Encroach. <br />0 Traffic Control: <br />F-1 Other: <br />Company or Vendor Name Jones Petrie Rafinski <br />0 Yes N No F1 If Yes, Approved by <br />New Vendor <br />Purchasinq <br />MBE/WBE Contractor <br />E Fj WBE <br />MBEANBE Contractor <br />Requested No F I Yes Name of Company <br />Project Name <br />2018 Century Center Building Improvements <br />Project Number <br />118-036 <br />Funding Source <br />Hotel Motel <br />Account No. <br />7304.42010.000,0099 <br />Amount <br />$28,150.00 <br />Terms of Contract <br />Purpose/Description <br />Design Services for building improvements in the Century <br />Center- Bendix Theater Upgrades, Storage Deck, Door Install <br />El Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required Fc�r h Oder; +arily <br />Amount of F-1 <br />increase $ <br />El <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />E F-1 <br />Kara Boyles, City Engineer <br />1E El <br />Patrick Sherman, VPA <br />M n <br />Scott Herczeg, Century Center <br />