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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date3/4/19......................................................................_ <br />Name aleSveus Department Ep 'mm em emrin - <br />BPW Date l2 iq Phone Extension 9083 <br />IMP IN IVIVPo.MI SdEm �IWIMMmmw �ffiwWWWW NMNNNNNNI�6' >+wmvmnmm�m mm�mmmm�%p��py;,pWN'M'M�i�BiY� ift/... I�pM,I' M�P,M�'d',W',W1PoI+. ft <br />�... ... ......... ��.....���.....mm.. <br />mmmmFuired Prior to Submittal to Board <br />Legal E] Attorney Name Clara McDaniels <br />Controller El Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing n Michael Schmidt <br />Check the Appropriate Item Type — <br />LJ Agreement <br />Professional Services <br />Bid Opening <br />Quote Opening <br />® Change Order No. 9 <br />El Ease/Encroach. <br />E] Other: <br />LJ Contract <br />F1 Resolution <br />n Bid Award <br />El Quote Award <br />El C/O & PCA No, <br />❑ Traffic Control <br />for All Submissions <br />I Proposal El Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information <br />❑ PCA <br />Company or Vendor Name Ziolkowski Construction Inc <br />New Vendor EYes EJ No E] If Yes, Approved by Purchasing <br />MBE/WBE Contractor F1 MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Erskine Clubhouse Renovation <br />Project Number 1 � 16-108 <br />�..... _....... ........._._. <br />Funding Source �,ft C.A P,-A <br />Account No. .LaL.._ L®r 4_52. <br />Amount $62,852 <br />Terms of Contract <br />Purpose/Description <br />Restroom and Kitchen bar work, ceiline repair, mop floor sink. <br />Kitchen feeder rework. <br />n Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment„ , Iran, <br />auired For Chage Orders OnI <br />Amount of Z Decrease $, increase 62,8�.5.�........._....�666 <br />m...........................�.�.�.�..m........ <br />Previous Amount $ 1,013,990.00 <br />Current Percent of Change: 6.2% <br />New Amount $ 1,076 ..............�... .��....... <br />_ ,842.00 <br />Total Percent of Change: 18.73% <br />Dispersal After Approval <br />Copy Original <br />® [ Kyle Silveus <br />.. ....atri.ck........................ w..... <br />® ❑ Sherman <br />. �...................._��...... m �---- <br />_..... ��. <br />