Change Order No 1 - Four Winds Field Landscaping - Foegley Landscaping Inc

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 03/07/2019 Patrick Sherman Department VPA BPW Date 03/12/2019 Phone Extension 5601 H flf Re uq� fired Prior to Submittal to Board 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 Michael Schmidt Check the Agreement [-1 Professional Services E] Bid Opening ❑� Quote Opening ® Change Order No. 1 E] Ease/Encroach. Other. )ropriate Item Type — Rent ❑ Contract Resolution ❑ Bid Award ❑ Quote Award El C/O & PCA No. [:] Traffic Control for All wSubmissions -..... Proposal El Req. to Advertise Required Information ❑ PCA Addendum ❑ Title Sheet Company or Vendor Name Foegley Landscaping Inc. New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Four Winds Field Landscaping Project Number 1075-2018 .... ....... __........................ ......� Funding Source Non -reverting Cove fund Account No. 401-1101-452.36.09 Amount $ 32,955.00 Terms of Contract Lump Sum Purpose/Description Extending Completion date to April 19t.W ® Required Contractor's Certification Form Attached (Non - Collusion Non -Discrimination, Non -Debarment, E-'Verify, Iran, etc. ............. Required mFor Chance Orders Orly .................. Amount of F-1 Increase $ ....... 0 Decrease ...$.. Previous Amount $ 32,955 Current Percent of Change. 0% New Amount $ 32,955 .............. ._ Total Percent of Change: 0% Dispersal After Approval Copy Original ❑ ❑ ❑ El El El