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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Aril 15 2019 <br />Department Public <br />Name Scott Kreeger Works <br />BPW Date Aril 221,019 Phone Extension 9245 <br />Req a i.r Prior to Submittal to Bo _ . <br />and <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney E] Attorney Name <br />Purchasing Michael^ Schmidt <br />Check the Appropriate Item Type -- <br />Z Professional Services Agreement 0 Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Ej <br />Quote Opening ❑ Quote Award <br />❑ <br />Proposal Opening ❑ C/O & PCA No. <br />E] <br />Chg. Order, No. ❑ 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 />All Submissions <br />Proposal <br />LJ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />(] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Crumlish Architects, Inc. <br />Yes 8If Yes, h roved <br />AP by Purchasing . . . . . ............ <br />No <br />WBECompleted E-Verify Form Attached Nos <br />2019 Edison Filtration Plant Roof Replacement <br />119-014 <br />Engineering Professional Services <br />622-0640-415.42-02....._ ......... <br />$24,000 <br />Hourly NTE <br />Contract agreement between Crumlish and the City designing a roof <br />for the Edison filtration plant <br />For Cana e Orders Only...�... <br />$ <br />Amount of Increase <br />� �......... ��..�����... � � ..��.�.�.. .... ��._._ .......� m, � .��......�.... <br />7' Decrease ($ ) <br />Previous Amount $ <br />......Increase...............�.�.. <br />Current Percent of Change: Decrease ( /o <br />New Amount $ <br />....Increase �.. �........._..........................�......_%�_ <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />