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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />October 15, 2018 <br />Kyle Silveus <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date October 23, 2018 Phone Extension 9083 <br />❑ <br />Agreement Amendment <br />U Contract L l Proposal H Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />F] <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />MBEIWBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Division A: Bokon Masonry, Inc. <br />Division B: Paul's Welding Inc. <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />_Gemini Washington --Colfax Masonry and Stair Repairs <br />118-080B <br />West Washington TIF <br />422-1050-460-42.02 <br />Division A: $190,171.00 <br />Division B: $168,844.00 <br />Lump Sum <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />