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M <br />Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />6/19/18 <br />We Silveus <br />Department Engineering <br />BPW Date 06/26/2018 Phone Extension 9083 <br />�J Agreement <br />H Contract U Proposal U Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />n Other: <br />Company or Vendor Name <br />Beam, Longest and Neff, L.L.0 <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEANBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Leeper Park Improvement Project <br />Project Number <br />118-010 <br />Funding Source <br />RW TIF Bond <br />Account No. <br />452-1101-452-31.02 <br />Amount <br />$ 24,400.00 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Scoping study and 10% design for Pedestrian Bridge improvements <br />near Leeper Park <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran, etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change; % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />❑ ❑ <br />❑ ❑ <br />❑ ❑ <br />