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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />Date 5/01/2018 <br />Name Sue Ellen Doudrick <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 5/08/2018 Phone Extension 5922 <br />Required Prior to Subrnitta[to, 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 />Agreement <br />❑ Professional Services <br />Bid Opening <br />F-1 Quote Opening <br />F-1 Change Order No. <br />F-1 Ease/Encroach. <br />F1 Other: <br />Company or Vendor Name <br />N Contract <br />Resolution <br />Bid Award <br />❑ Quote Award <br />■C/O <br />■Traffic Control: <br />New Vendor 1 <br />MBE/WBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />ME== <br />F Req. to Advertise E] Title Sheet <br />Lawson -Fisher Associates <br />um <br />F1 Yes H No ❑ If Yes, Approved by <br />Purchasing_ <br />F] MBE E] WBE <br />El No EJ Yes Name of Company <br />West Bank Corridor Improvements <br />117-085 <br />1. Use first: RWTIF CASH (up to $167,400); <br />2. Use second: RW TIF BOND <br />Amount $284,000 <br />Terms of Contract Lump Sum for design services; HNTE for permitting and <br />additional alternate design services <br />Purpose/Description Design of West Bank Trail Corridor improvements from south of <br />Jefferson Blvd north to LaSalle Avenue <br />FJ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />n #rs, 0'­,77' <br />F777 F of", o gp;; <br />Amount of F-1 increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Diwersal After Approval <br />Copy Original <br />E] Sue Ellen Doudrick, Assistant City Engineer <br />❑ Aaron Perri, Diirector of VPA <br />Elizabeth Maradik, Community Investment <br />