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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />July 16, 2018 <br />Roger Nawrot <br />Purchasing <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />❑ Agreement <br />U Contract U Proposal U Addendum <br />❑ <br />Professional Services <br />❑ <br />Resolution <br />❑ <br />Bid Opening <br />® <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 />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />n <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Rieth-Riley Construction Co., Inc. <br />❑ Yes ❑No ❑ <br />Purchasing <br />If Yes, Approved by <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Off Site Parking at St Louis Blvd. and Wayne Street <br />117-083B <br />Park Bond B <br />471-1131-452.42-03 <br />$379,986.95 <br />Not to Exceed <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />