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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 17, 2018 <br />Name Jacob M. Klosinski Department <br />Purchasing ® *AI Greek, Director of Utilities <br />Utilities Wastewater <br />❑ Agreement <br />........... <br />❑ Contract ❑ Proposal LJ Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <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 />❑ Ease/Encroach. <br />❑ Traffic Control <br />M Other: Amendment #'I <br />Company or Vendor Name Kil Architecture and Planning <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEANBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Wastewater Treatment Plant - Administration Building Masonry <br />Project Name Improvements <br />Project Number <br />Funding Source 2018 Utilities, Wastewater, Engineering Account <br />Account No. 641-0630-793-31-02 <br />Amount $ 16,800.00 (Increases PSA from $36,200 to $53,000) <br />Terms of Contract Lump Sum <br />Purpose/Description The Division of Utilities recommends the approval of Amendment #1 <br />to a Professional Services Agreement with Kil Architecture and <br />Planning to provide additional architectural and design services for <br />the submect promect for WWTP Bldg. #3. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ Increase <br />❑ <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />Dispersal After Approval <br />Al Greek, Director of Utilities <br />Jacob M. Klosinski, Assistant City Engineer <br />Susan Zeeb, Director of Financial Services, Environmental Services <br />