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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date December 6, 2011 Department C &ED BPW Date December 22, 2011 Phone 235 -5842 Name Bill Schalliol o Legal ® Attorney Name L. Meteiver o .a Controller review is required for all Contracts $5,000.00 or more z `0 (0 Controller ® and greater than one year in length per the City Purchasing rY a m° Policy Other Appropriate Reviewers ❑ Check the Annrooriate Item Tvne — Reauired for Alf Submissions Reauired Information or Vendor Name Agreement Ll Contract —Proposal Addendum Yes 0 No Claim Project Name Fellows Street Corridor Improvement Project - Supplement #1 Bid Opening Not yet assigned) 11 U'G Bid Award Re q. to Advertise ❑ Title Sheet 430- 1050 - 460 -31.06 Quote Opening ❑ Quote Award Chg Order No. Design service proposal for Fellows Street Corridor Improvement C/O & PCA No. PCA ❑ Ease. /Encroach. Traffic Control El Resolution ❑ Other: Reauired Information or Vendor Name Christopher B. Burke Engineering -Company New Vendor F1 Yes 0 No ❑ If Yes, Approved by Purchasing Project Name Fellows Street Corridor Improvement Project - Supplement #1 Project Number Not yet assigned) 11 U'G Funding Source SSDA TIF Account No. 430- 1050 - 460 -31.06 Amount $ 185,000.00 Terms of Contract Purpose /Description Design service proposal for Fellows Street Corridor Improvement Project, Phase 2 For Chanae Orders Onlv Amount of ❑ ❑ Increase Decrease $ $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % PO No. ispersa , , , er . C 0prova Copy Original ❑ ® Jason Durr, CBBE ® ❑ Bill Schalliol, CED