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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date.5/20/19..m..............wur...................... .........._....._..m..,_.................................��� <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 5/28/19 Phone Extension 5998 <br />aowrmaimmmmom!mmirwrmmmmmmmmmimwm ,— ,�, ;rrru, iuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuuumwmmrmw�r�✓��✓mn... M�11H�uuuwmMwwewuww, mnu19i0um�r <br />..,,.._.,,,�.......... .........wmwm�.mwm ,.. ... .............. ,,,...�.�.,._ ............ ....... <br />Reared Pnor to Submittal to Board <br />.—.__..... �........_._._.....�....ww �.�� ......_.� <br />BPW Attorney ® Attorney Name........._. µClara McDaniels <br />Dept. Attorney ] Attorney Name <br />,,............ ..�.�.�.�... <br />Purchasing <br />Check the Appropriate Item Type _._ <br />Professional Services Agreement ❑ Contract <br />[� Open Market Contract Amendment/Addendum <br />Bid Opening <br />] Bid Award <br />Quote Opening <br />E] Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />® Chg. Order, No. 1 <br />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 />DC By( <br />] YesYes <br />fA No <br />ird Information <br />All Submissions <br />Proposal <br />L] Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />If Yes, Approved by Purchasing <br />❑ Title Sheet <br />[❑ MBE Completed E-Verify Form Attached El Yes <br />[] WBE �] No <br />Main &Colfax Parking Structure l cpairs 2019 <br />.....�_� ... ........_ <br />115-143A <br />�. �... <br />Parking Garage Funds and RWDA <br />m��.�. ...... _.................._............... <br />....................................w <br />401-0401-415.36-01 and 324-1050-460.42-02 <br />Unit Price <br />Change Qrder for a time extension due to unforeseen post tension issues <br />..... __........... <br />For ChanE Orders Only T <br />Amount of0 <br />El <br />Increase $ 0 <br />Decrease $ �, <br />Previous Amount <br />. <br />$ 866,370.00 <br />..._... _.m <br />Increase <br />0 /o <br />_. _. <br />Current Percent of Change: <br />Decrease <br />.. <br />(00)„ m.. <br />New Amount <br />$ 866,370.00 <br />....................................� <br />Increase.......... <br />.......... <br />_...........................................................va...................................... <br />Total Percent of Change: <br />Decrease <br />...... _...�_ ........ <br />(0%) <br />Time Extension Amount: <br />14 days m.. <br />New Completion Date: <br />June 10, 2019 <br />