Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />Date July 16, 2018 <br />Name Tara Weigand <br />Department <br />IlikiRiAll <br />Public Works <br />Engineering <br />BPW Date July 24, 2018 Phone Extension 5998 <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: <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 M <br />Michael Schmidt <br />El Agreement Amendment E] Contract Proposal LJ Addendum <br />F] Professional Services, El Resolution <br />El Bid Opening F-1 Bid Award Req. to Advertise 0 Title Sheet <br />F-1 Quote Opening E Quote Award <br />E] Change Order No. EJ C/O & PCA No. PCA <br />F-1 Ease/Encroach. F1 Traffic Control: <br />FI Other: <br />Company or Vendor Name Larson -Danielson Construction Co., Inc. <br />El Yes 0 No If Yes, Approved by <br />New Vendor Purchasinq <br />MBEANBE 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 />X M-E <br />0 No U Yes Name of Company <br />Century Center Kitchen Door Installation <br />118-036B <br />HotekMotel <br />7304.42010.000,0099 <br />$17,975.11 <br />Install new double door between kitchen and storage room at, the <br />Century Center <br />L_J Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.,) <br />Required For Chan e Orders Only <br />Amount of El increase $ <br />El Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change; <br />Copy <br />Original <br />E] Scott Herczeg, Century Center <br />❑ Patrick Sherman, VPA <br />F-1 Ed Kowalczyk, Jones Petrie Rafinski <br />