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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/19/19 <br />Name Kyle Silveus Department Engineering <br />BPW Date 4/23/19 Phone Extension 9083 <br />wv� wv <br />Required Prior to Submittal to Board <br />Legal El Attorney Name Clara McDaniels <br />Controller ❑ 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 ❑ Michael Schmidt <br />Check the <br />LJ Agreement <br />❑ Professional Services <br />F-1 Bid Opening <br />F Quote Opening <br />El Change Order No. _ <br />0 Ease/Encroach. <br />❑ Other: <br />wo riate Item Tye <br />Contract <br />❑ Resolution <br />® Bid Award <br />F-1 Quote Award <br />F-1C/O &PCANo. <br />_ <br />El Traffic Control <br />for All Submissions __ <br />] Proposal Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />ired Information <br />❑ PCA <br />Company or Vendor Name Ancon Construction Company, Inc. <br />New Vendor ❑ Yes No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑MBE WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Historic Leeper Park Improvements — Bid Package 1 <br />Project Number 118-010A <br />�........_......................................ww _.................... <br />Funding Source RW TIF B�an_..d...................................mww. �_....._.................. <br />Account No. 452-1101-452-31.02 <br />_.................... .......................� . ....___. w. w........ <br />Amount $ 1,308,129.03 <br />Terms of Contract Base Bid <br />Purpose/Description .—. �.�..................._............_.. �.......� .....__..___.._._...�m�. <br />0 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment, E-Verify, Iran„ etc, Required For Change Orders On% <br />Amount of ❑ increase <br />❑ Decrease....$.................................................................... <br />Previous Amount $ <br />........... <br />Current Percent of Change: % wwwww v <br />New Amount <br />Total Percent of Change: /° <br />Dispersal After Approval <br />Copy Original <br />® _Kyle Silveus_ <br />® [ ] Patrick Sherman <br />