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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/01/19 <br />Name Alicia Czarnecki Department 1Lm ineerin <br />_._.. ............. ....._... .... <br />BPW Date 04/09/19 Phone Extension 5903 <br />N NM <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the <br />Professional Services Agreement <br />U Open Market Contract <br />0 Bid Opening <br />Quote Opening <br />E] Proposal Opening <br />❑ Chg. Order, No. <br />F-1 Other: <br />ate Item I"c <br />Contract <br />® Amendment/Addendum <br />❑ Bid Award <br />Quote Award <br />C/O & PCA No. <br />El Traffic Control <br />Company or Vendor Name American S <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 />Yes <br />No <br />Information <br />e oust, Inc. <br />All Submissions <br />UProposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />El Resolution <br />El Ease./Encroach <br />If Yes, Approved by Purchasing <br />❑ Title Shee <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE E] No <br />Morris Theater Emergency Plaster Work <br />118-094 <br />VPA Morris ITITIT ... _ _ _............. __..._.a <br />226-0419-672.36-01 <br />Amendment 1 $7........ ...__� _ <br />,750 00 New Contract Amount: $25,450 00 <br />NTE <br />Purpose/Description Consultin , en yincerin s r 'ices rec wired to assist the City of South Ben <br />in producing bid documents and construction administration services for th <br />remedial repairs required at the Morris Performing Arts Center. <br />Amount of <br />F] <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase <br />Decrease <br />Increase <br />% <br />Decrease <br />% <br />Increase...... ................ <br />....����._� <br />Decrease <br />( % <br />