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Date <br />BPW Date <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RENIEW REQUEST FORM <br />May 3, 2011 Department <br />May 9, 2011 <br />Phone <br />C&ED <br />235-5842 <br />Company or Vendor Name <br />Agreement <br />AMW <br />El Contract I Lj Proposal <br />Addendum <br />F1 <br />Claim <br />Main-Lafayette Connector, Supplement #2 <br />0 <br />Bid Opening <br />Funding Source <br />Bid Award <br />Account No. <br />Re q. to Advertise <br />D <br />Title Sheet <br />F1 <br />Quote Opening <br />LJ <br />Quote Award <br />D <br />Ch g Order No. <br />Amount of ❑ <br />El <br />C/O & PCA No. <br />Previous Amount <br />F)CA <br />[ I <br />Ease./Encroach. <br />LJ <br />Traffic Control <br />L1 <br />Resolution <br />El <br />Other: <br />Company or Vendor Name <br />Original <br />New Vendor <br />LJ Yes 0 No <br />If Yes, Approved by Purchasing <br />Project Name <br />Main-Lafayette Connector, Supplement #2 <br />Project Number <br />-4 s,a� , � <br />@kA tat aRRO n- ) //0 ---C <br />Funding Source <br />SSDA TIF <br />Account No. <br />430-1050-460-31.02 <br />Amount <br />$ <br />Terms of Contract <br />Purpose/Description <br />Amendment #2 related to M in-Lafavette Connector Proiect. <br />Item is specific to Sub-consultant work for Relocation Services. <br />Amount of ❑ <br />El <br />ONT; w&= <br />Increase $ <br />Decrease[$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />Copy <br />Original <br />�2 Vt <br />Cheryl Phipps, CED <br />Bill Schalliol, CED <br />