Change Order No 1 Final & PCA - Mishawaka Ave Tree Replacement Proj No 118-111 - Acorn Landscaping

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 05/14/2019 Department Name Toy Villa Engineering BPW Date 05/28/2019 Phone Extension 5920 VEM _...... ...__._.......................... ........... . wWwww Required Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing._ Check the Appropriate Item Type LJ Professional Services Agreement ❑ Contract ❑ Open Market Contract ❑ Amendment/Addendum Bid Opening ❑ Bid Award E Quote Opening Quote Award �❑ Proposal Opening M C/O & PCA No. Final ❑ Chg. Order, No. Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Acorn I E, Yes M No Information LLC r. All Submissions ❑ Proposal ❑ Special Purchase, QPA E] Req. to Advertise ❑ Title Sheet E] Reject Bids/Quotes PCA Resolution Ease./Encroach If Yes, Approved by Purchasing ❑]I MBE Completed E-Verify Form Attached ❑ Yes ❑ WBE ❑ No Mishawaka Avenue Tree Replacement _.,. . 118-111 Complete Streets Transportation 404.1001.460.42.30 F_or Change Orders Onty,, _ Amount of Increase _$ _ Decrease �$ 2 415.00) Previous Amount $ 21 839�� 50 ._....... ......... � .� ......Increase w ,,,,..._- — -- .......... �.�.........................�.�.�.�.�.�.�..........�.�.�......� _�............,....................................�__.m......._ % �� Current Percent of Change: Decrease 11 0600) New Amount $ 19,424.50 Increase /o Total Percent of Change: Decrease 0 11.06 /o Time Extension Amount: New Completion Date: . . ........ -- — ................m._ w......_w............_w ..�...........__ .....�.�............�.�... �.—_....�.�..