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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/17/2018 Department Public Works <br />Name <br />Alicia Czarnecki <br />Division/Bureau <br />Engineering <br />BPW Date <br />07/24/2018 <br />Phone Extension <br />5903 <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ 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 ❑ <br />❑ <br />Agreement Amendment <br />Lj Contract ❑ Proposal LJ Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />® <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />Other: General Release <br />Company or Vendor Name Williams Creek Management Corporation <br />❑ Yes ❑ No ❑ If Yes, Approved by <br />New Vendor Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Ravina Park — Bank Stabilization <br />Project Number 117-073A <br />Funding Source Special LOIT -- Major Projects <br />Account No. 257.0608.431.42.96 <br />Amount $271,710.20 — subject to sufficient funding <br />Terms of Contract <br />Purpose/Description <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Nan -Discrimination, Non -Debarment, E-Verify, 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 />® ❑ Kara Boyles, City Engineer <br />® ❑ Alicia Czarnecki <br />❑ ❑ <br />