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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/05/2019 <br />Department Public <br />Name Zach Hurst Works / Engineering <br />BPW Date 02/12/2019 Phone Extension 3057 <br />WIN <br />Prior �7 Submittal m � j:a I t �oB Board <br />wired <br />BPW�ttorney ❑ AttorneName <br />Dept. Attorney 0 Attorney Name <br />. . . . . ................................ . ..... <br />Purchasing 1:1 <br />Check the Appropriate Item Type — <br />LJ Professional Services Agreement [:] Contract <br />Z Open Market Contract 0 <br />Amendment/Addendum <br />EJ Bid Opening El <br />Bid Award <br />F-1 Quote Opening EJ <br />Quote Award <br />E] Proposal Opening <br />C/O & PCA No. <br />El Chg. Order, No. <br />Traffic Control <br />n Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Require(] Information <br />Mulder W <br />0 Yeso <br />F-1 No <br />[J MBE <br />[] WBE <br />All Submissions <br />Proposal <br />LJ Special Purchase, QPA <br />El Req. to Advertise ❑ Title Sheet <br />El Reject Bids/Quotes <br />FIPCA <br />Resolution <br />Ease./Encroach <br />and Sealants, Inc. <br />............. <br />If Yes, Approved by Purchasing <br />Completed E-Verify Form Attached E]Yes <br />F] No <br />Liberty Tower Exterior Renovations <br />11 8-086R Division B <br />River West TIF <br />32-4-1 05646-0-4i.-6i--'--­ <br />$296,950.00 <br />LumpSum <br />Open Market Contract — no bids received during public bid —process".' <br />. . ..... For ChanLe Orders Only <br />Amount of F-1 Increase <br />0 Decrease ($ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />Increase <br />% <br />Decrease <br />Increase <br />% <br />Decrease <br />% <br />New Completion Date: — ----- -- <br />--- ........... ...... ............ .... . . -- --.— <br />