Amendment to PSA - Troyer Group Inc - Pulaski Park Improvements

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 05/21 /2019 Kyle Silveus Department En ineerin BPW Date 05/28/2019 Phone Extension 9083 M�fb 6'6Ub51EY@IV ii dU//A4n4bI NX11/ „, IMpIN�II�II�Ilii1MINIMIMIIVIVIVIWI�W'AWW'&WIV + IVINNNIN�pryyq�rirygWWdIWY{�W'W�M'M�'IN(r�ANA�' � ,.. ..................... .. .-. ......... ..... ..,.�............. ........mm.�..... �.... .............,,...,... Rewired Prior to Submittal to Board Legal ® Attorney Name Clara McDaniels 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 ❑ Michael Schmidt Check the LJ Agreement ® Professional Services ❑ Bid Opening El Quote Opening E] Change Order No. _ F] Ease/Encroach. ❑ Other: ire riate Item` r�e� Contract Resolution Bid Award El Quote Award ❑ C/O &PCANo. _ ❑ Traffic Control for All Submissions I Proposal Addendum ❑ Req. to Advertise ❑ Title Sheet Required Information Company or Vendor Name Troyer Grou New Vendor ❑ Yes ❑ No MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Project Name Pulaski Park Im Project Number 118-056 Funding Source Account No. Amount Terms of Contract Purpose/Description ❑ PCA If Yes, Approved by Purchasing Name of Company ovements TIF Park Bond 452-1101-452.31-06 $... Q -15-0 ................... as Tas LS Amendment to PSA Desiqn Services for geotechnical services - Pulaski Park Improvements. Toxicity analysis and VOCtesting is included ❑ Required Contractor's Certification Form Attached (Non - Collusion„ Non -Discrimination, Non -Debarment, E V riify, Iran, etc. Required For Change Orders Orly Amount of El Increase $ Decrease $ Previous Amount $ Current Percent of Change: New Amount $ ............... Total Percent of Change: al After Approval Copy Original ❑ ❑ ❑ ❑ ❑ ❑