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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 12, 2018 Department Public Works <br />�..�........_�.._����._�__......__..........��......���m.��..............�_ .� <br />Name Roger Nawrot a Boyles Division/Bureau Engineering <br />/ Kara ,� <br />BPW Date September 28, 2018 Phone Extension 5932 .._..... <br />ma re �wWW�n�� u�wmm�a�mru�wuimee�=m���m�i�immuw�.a �. om �iu^�moiommmmwm��wn ;r. , .,yyy��,ve��uau�w,�"�m <br />................. <br />......,,.._.� .......__......_.... .. .,.. _ .. �.� ._�,_ —.. --- ._.......� <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ 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 />Purchasing ❑ <br />_ Agreement <br />Check the <br />El Professional Services� .. <br />E] Bid Opening <br />El Quote Opening <br />Change Order No. 1 <br />�] Ease/Encroach. <br />Other: <br />)ro <br />,R[!ate ,[!ateItem T o.. Recp <br />❑ Contract <br />n Resolution <br />E] Bid Award <br />Quote Award <br />❑ C/O &PCANo, <br />❑ Traffic Control: <br />for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />Required Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />[� es � <br />Company or Vendor Name Larson DanielsonConstructionCompany, C m ark Inc. — ._._..... <br />El Yes No Y Approved oved by <br />chasing <br />New Vendor Pu IVI BE <br />MBE/WBE Contractor _.wm ... �da— ......... <br />e <br />MBE/WBE Contractor Requested No es BName� of Comoarry <br />Howard Park Redevelopment & St. Louis Boulevard <br />Project Name Improvements <br />Project Number 117-047B <br />452-1101-452.02&45 03, 429-1050-460.42- <br />Funding Source Park Bond RETIF Regional Cities & Cumulat <br />ive Capital <br />02, 201-1111- <br />Account No. 452.42-01, 407-1101-452.4201 <br />Amount $ <br />Terms of Contract —.._ ....__...�.....� �....�.._�...�� .��— m�....�..��_ <br />Purpose/Description Required Contractor's 30C days <br />d.0 �y in th - �� the bid, <br />. <br />Time extension due o a delay in the award of <br />Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders <br />Amount of Increase $ <br />—­���... .._. _.. �.._ .�.............� .�.........� <br />Decrease $ 843,275.00 .00 - <br />Previous Amount $ 18,819,307.00 <br />Current Percent of Change: W4.48% .......w.d�.� <br />�$ 17,976,032.00 ..... <br />New Amount <br />Total Percent of Change: 4.48% ...w <br />Dispersal After <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />0 <br />0 <br />