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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE, QUEST FORM <br />Date <br />8/20/2018 <br />Department <br />Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />8/28/2018 <br />Phone Extension <br />5920 <br />Legal <br />Controller <br />Purchasing <br />L_J Agreement <br />F1 Professional Services <br />F-1 Bid Opening <br />F1 Quote Opening <br />Z Change Order No. 1 <br />El Ease/Encroach. <br />n Other: <br />❑ Attorney Name: <br />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 />Ll Contract <br />El Resolution <br />El Bid Award <br />F-1 Quote Award <br />❑ C/O & PCA No <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <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 />FareroremF <br />F-1 Req. to Advertise El Title Sheet <br />X. <br />WaLsh � Ke�ll . Inc. <br />El Yes H No El If Yes, Approved by--P u_r.chasJ.n9__ <br />F1 MBE F1 WBE <br />F No El Yes, Name of Company <br />Tucker Drive <br />116-118A <br />RWDA TIF <br />324.1050,460.31.02 <br />R., <br />Ar)r)roval of C.O. #1 - See Attached <br />E] Required Contractor's Certification Forms Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Amount of Increase $25,230.91 <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: 8.88% <br />New Amount $309,203.68 <br />Total Percent of Change: 8.88% <br />Copy <br />Original <br />F-1 <br />El <br />El <br />F-1 <br />El <br />El <br />