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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 6, 2018 <br />Name Stephanie Steele Department Legal <br />BPW Date November 13„ 2018 Phone Extension 9241 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />Checkmthe <br />"Agreement <br />El Professional Services <br />❑ Bid Opening <br />El Quote Opening <br />] Chg Order No. <br />Ease./Encroach. <br />I-1 Other: <br />a , w,I k Lci . 's' YEAH ..��.. �' . <br />Contract <br />Amendment <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O & PICA No. <br />❑ Traffic Control <br />for All & <br />Proposal <br />❑ Req. to Advertise <br />Ell FICA <br />Resolution <br />El Claim <br />I Addendum <br />❑ Title Sheet <br />T. Brown, IndependentContractor- Veritas, LLC. <br />Companyor Vendor Name Richard T <br />El Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />� WBE Completed E-Verify Form Attached EI Nos <br />Project Name <br />Beck s Lake r ......- ......-_-_ ...._ _ <br />' o'ect .,_.. <br />Project Number <br />NA <br />FundingSource <br />Professional Services EPA <br />Prof. _ _..m� .��.... _ _W ..- ... ... <br />Account No. <br />2 w i 412 672-39--02� <br />Amount <br />for maximum paret NTE 360d0im ........ .. <br />Terms of Contract <br />_$101cur <br />2018 — December 31, 2020 <br />June 1, _..... <br />Purpose/Description <br />Manage remedial investigation and feasibility study for the <br />LaSalle Park Area of the Beck's Lake site and assist City and City <br />Legal Team with EPA deliverables and anal'vis proiects, <br />Amount of [] Increase <br />F Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ p„ <br />Total Percent of Change: _ <br />Time Extension: <br />ispersal After Approval <br />Copy <br />Original <br />❑ <br />El <br />❑ <br />E] <br />❑ <br />❑ <br />