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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June I8 2019 <br />Department Public <br />Name Scott Kree2er Works <br />m . ��...�.��........................................................................................... � �ww <br />BPW Date June 25 2019 Phone Extension 9245 <br />mar ��wmr�mmiuruwn u=iMmnuMnrw <br />Requirerl Prior to Submittal to Board <br />BPW Attorney Attorney Name Ceara i"4°lcDaniels <br />Dept. Attorney ❑] Attorney Name <br />Purchasing Michael Schmidt <br />._...... <br />_.....� <br />Check the Appropriate Item Type -w Required,16r All Submissions <br />E Professional Services Agreement Ej Contract <br />Ej <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />❑ <br />Quote Opening ❑ Quote Award <br />I❑ <br />Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. 1 ❑ 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 />red. Information <br />Proposal <br />Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />❑] PCA <br />0 Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Facelift Painting & Powerwashing............................................................................. �..._ <br />❑ Yes[:] If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached Nos <br />❑ <br />WBE <br />Colfax Water Works Buildina Reaaintina <br />118-055 <br />Buildina Repair & Maintenance <br />620-0640-657.36-01 <br />$19,153.85. <br />Base. Bid <br />+Alt <br />....1.............. <br />Repair and repaint the exterior of the Water Works utility building on <br />Colfax Avenue <br />For Change OrdersIT -.. _.. _ ...... <br />Amount of Increase <br />Decrease ($ ) <br />Previous Amount $ _ <br />Increase � �-��........� �, �......m%������� <br />Current Percent of Change: Decrease (� % <br />New Amount $ <br />. ..... ............... <br />.....................................w........�ww�- <br />Total Percent of Change: Decrease <br />Time Extension Amount: 55 Days <br />New Completion Date: June 20.2019 <br />