Award Quote - Lafayette Building Drain Replacement Project No 119-042A - Niezgodski Plumbing Inc

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 5/7/19 Name K le Silveus Department Engineering BPW Date 5/14/19 Phone Extension 9083 :ea�a�aa,mew nrrrrrrnnnnnn�ernnnnnnn,�,�nnnnn �mmomuunm uiuwwwmmmmmuiui wi i ._........�.__......_ ......._...�....... ........ ............... .�,.....�.. Required Prior to Submittal to Board Legal E! Attorney Name Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the ❑, Agreement El Professional Services ❑ Bid Opening 0 Quote Opening Change Order No. F-1 Ease/Encroach. Other: iropriate Item Type_- Reqt El Contract ❑I Resolution ❑ Bid Award ® Quote Award El C/O & PCA No. F Traffic Control fired Information Company or Vendor Name Niezgodski Plumbing, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Submissions minor All _ mub._...__..�� 0 Proposal R Addendum l Req. to Advertise ❑ Title Sheet ❑ PCA ❑ Yes ® No ❑ If Yes, Approved by Purchasing ❑ MBE ❑ WBE Lafayette Building Drain Replacement ..._.._... I I9-042A RWDA .—................................. ...s�.. ......� 324-1050-460-42.02 $ 37,127.00 Base Bid Interior Drain Pipe Replacement in two 1................. '....... inside p p ocations inside the Lafayette Building ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, Lran, etc. Required For Change Orders Only Amount of Increase Decrease $ Previous Amount $ Current Percent of Change: New Amount $ Total Percent of Change: Dispersal After Approval Copy Original ❑ ❑ El F ❑