Change Order No 2 - Cleveland Well Field Refurbishments Proj No 118-021A - Peerless Midwest Inc

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 5/17/19 Department Public Name Becca Plantz Works BPW Date 5/28/19 Phone Extension 5998 IMP .. _ .,......_..... ........._............. a .�gtjtp Prior to Submittal to Board___..._...__..._...........��_._ � � � m_ BPW Attorney ❑ Attorney Name Clara McDaniels Dept. Attorney Attorney Name Purchasin g El Check the Aplarop�k<tc Item Type lour cel r All Submissions ❑ Professional Services Agreement El Contract Proposal ❑ Open Market Contract ❑ Amendment/Addendum Special Purchase, QPA Bid Opening [- Bid Award Req. to Advertise ❑ Title Sheet Quote Opening ❑ Quote Award] Reject Bids/Quotes Proposal Opening C/O & PCA No. ❑ PCA ® Chg. Order, No. 2 [] Traffic Control EJ Resolution Other: Ease. Encroach Required Information Company or Vendor Name Peerless Midwest_ ❑ Yes If Yes, Approved by Purchasing New Vendor ® No ❑ MBE Yes MBE/WBE Contractor Completed E-Verify Form Attached WBE ❑] No Project Name Refurbishments — Program Items Cleveland Well Field ram R ...............mm.,..,.,.,.,.,., .,.,.,.,.,.,.,....,..,............................................................. Project Number 118 021A Funding Source Riverw_est TIF �� Account No. 324-1050-460.42-02 Amount Terms of Contract Lump_ Sum ... Purpose/Description to touchscreen to different vendor. Contrast sum increase _a...w:P `. For Chan e Orders Only Amount of ® Increase $ 4,500.00 Decrease Previous Amount $ 140,744.00 s ...............�.................... Increase Current Percent of Change: Decrease ( % New Amount $ 145,244.00 ............6............1% .........,,_ Increase... Total Percent of Change: Decrease � Time Extension Amount: 4 days New Completion Date: 6/4/2019