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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/02/2019 <br />Department Public <br />Name Zach Hurst 'Works / Engineering <br />BPW Date 04/09/2019 Phone Extension 3057 <br />l ...... e l Prior to Submittal to Board �.�.................._ <br />BPW Attorney F-1 Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />Check the A <br />Item Type— liequire . or All Submissions <br />E, Professional Services Agreement Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />Bid Award <br />[� Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />Traffic Control <br />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 />Information <br />LJ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />0 Ease./Encroach <br />❑ Title Sheet <br />Majority i ldcis, Inc. <br />MaYesIfYesApproved m....._ _......._ mwW <br />by Purchasing <br />❑ No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Tech Resource Center <br />.� ............w .... <br />118-090 <br />River West TIF, Studebaker/Olive Grants, Certified <br />��.........mTechh <br />Park Fund <br />324-1050-460-42.02, 209-327-1001-469.31.06, 439-1050-460-42.01 <br />$1,384,273.00 <br />Award Base Bid iiltis. Alternates 1., 2, 3 4 and Addendum S fbr th ecl <br />Resource Center at Ignition Park. <br />..._ �� n <br />For Cluing Orders �.... <br />Increase $ <br />Amount of Decrease , <br />Previous Amount $�� <br />Increase % <br />Current Percent of Change: Decrease ( % <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( /o <br />.............................m..................m_�_�_�_��.�m�� <br />Time Extension Amount: <br />New Completion Date: <br />