Supplemental Agreement No 2 - United Consulting - APA Costs and Phase II Environmental Assessment for Coal Line Train Phase I

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date February 4, 2019 Name Kyle Silveus Department Public Works Division/Bureau Engineering BPW Date February 12, 2019 Phone Extension 9083 ieuired Prior to Submittal to Boar _ ... Legal ® Attorney Name: Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the L J Agreement D Professional Services Bid Opening Quote Opening Change Order No. El Ease/Encroach. Z Other: Contract Supplement Michael Schmidt �. )ropdate Item T Contract L_J Resolution for All Submissions Proposal ❑ Bid Award ❑ Req. to Advertise El Quote Award [ C/O & PCA No. ❑ PCA Traffic Control: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Required Information United Consult Yes Z No Li If Y MBE W....BE__ ❑...W.. __.. No Yes Name of Comeanv Coal Line Trail Phase I ENG 115-063 DES No: 1401810 Riverwest TIF 324.1050.460.42.02 Phase I: Increase of $22,815 Total fee not to exceed Addendum ❑ Title Sheet Purchasi Scope additions include: Appraisal Problem Analysis (APA) costs and Phase II Environmental assessment activities _I Required Contractor's Certification Forms Attached (Non- ...................a Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) ....._.. Increase a fired For Change Orders On� Amount of ❑ _...... _ ly Decrease .. ....... ........ ._...... El $ Previous Amount $ Current Percent of Change: New Amount ....... ........ Total Percent of Change .......... Dispersal After A roval Copy Original ®El Kyle Silveus ® ❑ Chris_ Dressel El El . _.. ...�_.......