Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQuEsT FORM <br />Date 06/13/2018 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />BPW Date 06/26/2018 Phone Extension 5920 <br />Reauire, Prior to,$Ubmittal to 6Oard <br />Legal EJ Attorney Name: <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length Iper the City Purchasing Policy <br />Purchasing 0 <br />F-1 Agreement <br />F-1 Contract [_1 Proposal LJ Addendum <br />F-1 Professional Services <br />F] Resolution <br />F-1 Bid Opening <br />[:] Bid Award E] Req. to Advertise El Title Sheet <br />❑ Quote Opening <br />E] Quote Award <br />Change Order No. I <br />F-1 C/O & PCA No. F1 PCA <br />Ease/Encroach. <br />❑ Traffic Control: <br />El Other: <br />Required 10brimatio6 <br />Company or Vendor Name <br />C & E Excavating , Inc. <br />New Vendor <br />El Yes M No If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />0 MBE -[:] WBE <br />MBE/WBE Contractor Requested [:] No [] Yes Name of Company <br />Project Name <br />Ironwood Drive Pavement Rehabilitation and Intersection <br />Project Number <br />117-071A <br />Funding Source <br />Local Road & Bridge Grant <br />Account No. <br />265.0608.431.36.10 <br />Amount <br />$1,347,592.50 <br />Terms of Contract <br />Purpose/Description <br />Approval of Change Order No. I <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of M Increase $4,615.80 <br />El Decrease $ <br />Previous Amount $ 1,347,592.50 <br />Current Percent of Change: 0,34%_ <br />New Amount $ 1,352,208.30 <br />Total Percent of Change: 0.34% <br />arealDie Aft <br />Copy Original <br />F E] <br />El El <br />