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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/21/19 Department Public Works <br />�._ .�.................. �.�...�� ............�� .......... w,,,........... <br />�..................�.e. <br />Division/Bureau Engineering <br />Name ......Kyle SilveusDi <br />........................................................._.��.....................���.....mu.......�.........................�����.�� ..�,�...............�......�... <br />BPW Date 5/28/19 Phone Extension 9083 <br />�Wm rtrcAmnmvx vw �wui mu m„rhrroxir ioiw� mm ouw¢�mr�mMimmMimm MMIMmmrremimi¢ � ;� w wwraaaw wwwrr+inmm000uumwwuwwwim�unr.H ,.. .... �.. � mm��m!ni,�av✓m�. eu� <br />......................_ . Re ....uired Prior to Submittal to Board rd <br />_...._ ..�_ „ <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />ITITmmm Check the <br />L_J Agreement Amendment <br />El Professional Services <br />Bid Opening <br />Quote Opening <br />Change Order No. 1 <br />F Ease/Encroach. <br />F] Other: <br />Michael Schmidt <br />mete Itmorpw Type — <br />El Contract <br />Resolution <br />F1 Bid Award <br />Quote Award <br />El c/O & PCA No. <br />Traffic Control: <br />for All Submissions <br />� Proposal <br />❑ Req. to Advertise <br />Required Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />: Bokon <br />asoqry <br />-w o IYes, m .....— ... . <br />New Vendor Vendor Name Yesn A No ❑ If A loved by Purchasing <br />MBE/WBE Contractor MBE ❑ WBE <br />MBE/WBE Contractor Requested �...... <br />q No [ Yes Name of Coman <br />1--080Project Name G18 ashin�cton-Colfax Masonry andStairRepairs <br />Project Number „mmm <br />Funding Source West Washington TIF <br />Account No. 422-1050-460-42.02 <br />Amount Division..A......$.......� �.,,...�. .....................m................ww <br />190,171 <br />m .......... _ .... <br />Terms of Contract LumSum <br />Purpose/Description Masona repairs that were unforeseen. These locations were <br />behind the existing stairwells and the extent of the repairs was <br />unknown until the old stairs were removed. Repairs are needed <br />rior to installing the new stairs. <br />L JI Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of Increase $ 47,542 <br />� Decrease $ <br />Previous Amount �90..�1..7. �.. � �....m.........w <br />Current Percent of Changer 25 /o <br />New Amount <br />Total Percent of Cha <br />Copy <br />Original <br />❑ <br />❑ <br />11 <br />El <br />El <br />El <br />$ 237, 713 <br />25% <br />Dispersal After Approval <br />