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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 4, 2019 <br />Name Roger Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date February 12, 2019 Phone Extension 5932 <br />wmmmmMMMIiNimm m wuuum <br />Required Prior to Submittal to Board <br />_....... ........ <br />.....�—. ._.._._... _. <br />Legal ❑ Attorney Name: <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 ❑ Michael Schmidt <br />Check the A .r_ nate Item T e — lecuire+ for All Submissions <br />�_...M .... <br />Agreement <br />❑ Contract �', Proposal <br />Addend" p E]um <br />F1 <br />Professional Services <br />❑ Resolution <br />Bid Opening <br />❑ Bid Award E Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />El <br />Quote Award <br />EJ <br />Change Order No. <br />F1 <br />C/O & PCA No. PCA <br />E, <br />Ease/Encroach. <br />El <br />Traffic Control: <br />Other: Amendment No. 3 <br />.�.............. .....-u.___- <br />...... <br />�......._........ <br />-Required Information ITITITITITITITITITITITIT_ <br />Company or Vendor Name <br />Alliance Architects, Inc. <br />New Vendor <br />Yes Z No If Yes Approved by Purchasing <br />mmmmmm <br />MBE/WBE Contractor <br />MBE] WBE <br />MBE/WBE Contractor Requested <br />µNo � Yes Name of Compan y <br />Project Name <br />Howard Park Reconstruction <br />Project Number <br />117-047 <br />Funding Source <br />. ............................ �.. <br />Re Tonal Cities Grant <br />Account No. <br />201-1111-452.31-06 <br />Amount.. <br />�...36'9.64..0.0.._______W...................__......................... _......... <br />Terms of Contract <br />......................................�.�_...._.�.�.�.�.�..............�....__.........�.m <br />Not to Exceed <br />Purpose/Description <br />..........— ............................... g .... ...... <br />This amendment is for Enhanced Commissionin Services, <br />Vietnam Memorial Bid Package, splitting the project into <br />accounting divisions, AV/IT Design Services and North east <br />Entry Redesign. The total contract price with this amendment is <br />$1,310,964.00. <br />Required Contractor's ���C�e�rt�� <br />ification Forms Attached (Non - <br />Collusion, Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />... _ ...........Required <br />For Change Orders...Onl" .._ �. ...� <br />Amount of ❑ Increase $ <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />NewAmount �........................��_..........�.�.�.�.�............................w_ <br />Total Percent of Chan we: % <br />...... Dispersal Aft o.val <br />�... � After A royal <br />Copy Original <br />❑ ❑ Kara Boyles <br />❑ Roger Nawrot <br />