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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/21/2019 <br />Department Public <br />Name Zach Hurst. Works <br />BPW Date 5/28/201.9 Phone Extension 3057 <br />ommwuuv�uiuiuiuuwiumry .,tt��w�w�w�w��:: mHUHiHiHiHiHiHuuuuuuuuuumwnwuwm�uuiuiuirvw.wrvmaarcrtm„ m�v ¢,u� ,,. ...... �uurwmar��ai uuuuuuuuuuuuummmuzre�uaiu�r <br />lec uired Prior to Submittal to Board <br />._.. ._._........_. ..� .... ��6...... .... <br />BPW Attorney❑ Attorney Name <br />Dept. Attorney [J Attorney Name <br />Purchasing E] <br />Check the A <br />Professional Services Agreement <br />❑ Open Market Contract <br />�] Bid Opening <br />] Quote Opening <br />Proposal Opening <br />® Chg. Order, No. 2 <br />El 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 />ate Item T e <br />Contract <br />aaaa eelfi'n- All Submissions <br />Amendment/Addendum <br />❑] Bid Award <br />E] Quote Award <br />(� C/O & PCA No. <br />] Traffic Control <br />Required Information <br />LJ Proposal <br />0 Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Change Order No. 2 accoua1ts for unforeseen _f6undation aca'noval .le 1gc...... <br />of frozen suhgrade and elimination ofdraiaMq structures, <br />For Change Orders Only <br />Amount of <br />Increase $ 2,416 00 <br />�...._, .... .. .r�__ ee... <br />�] <br />Decrease ($ ) <br />Previous Amount <br />$ 186,767.00 <br />........................................._ ... _...._..,,............................................................ <br />.�......................m_... .............. <br />Increase 1.29% <br />Current Percent of Change: <br />�................ ........—._.........,,....................................... <br />Decrease ( %) <br />New Amount <br />_...._..... _ ............. �..� <br />$ 189,183.00 <br />......Increase .............. ... ...... ....�.�m�.�.9%........��.....................kw <br />Total Percent of Change: <br />w� �.-_. <br />Decrease %) <br />Time Extension Amount: <br />._........r.� <br />0 days <br />New Completion Date: 6/14/2019 <br />