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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 09/26/2018 Department Public Works <br />Name <br />Toy Villa <br />Division/Bureau <br />Engineering <br />BPW Date <br />10/09/2018 <br />Phone Extension <br />5920 <br />Legal ❑ Attorney Name: <br />Controller ❑ Controller review is required for all Contracts $5,000.001 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing n <br />❑I Agreement <br />❑ Professional Services <br />Bid Opening <br />Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />F-1 Other: <br />H Contract L] Proposal ❑ Addendum <br />❑ Resolution <br />El Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />F] Quote Award <br />C/O & PCA No. 1 (Final) El PCA <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/'BE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of 0 <br />M <br />Walsh & Kelly, Inc. <br />❑ Yes 0 No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Monroe Parking Lot and Street Improvements <br />rovements <br />—117-043 (17J01 1) <br />RWDA TIF <br />324.1050.460.42.01 <br />$225,138,93 <br />Project Closeout <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Increase $ <br />Decrease $ 6,933.15 <br />Previous Amount $ 232,072.08 <br />Current Percent of Change: 2.99% <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />F-1 <br />El <br />❑ <br />❑ <br />$ 225,138,93 <br />1.64% <br />Diwersal After <br />