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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/17/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 6/25/2019 Phone Extension 3057 <br />�wio�wd�ai¢artu^�uww�muuuuiwllw.uumiuumi .. ivw�w�urcre�wwrvrvrvrvrvvwmo�.m�Nex���.-������.�mm. rr�r� uruHiHiHiHuumHUHUHiHiHuuuuHiHiHUHUHuuuuHUHmwuwuwuwuwuwuuum v�er,�,�.. xrurrsmmiva�,HHrv,�mm�mwu�rr�,�mwuw�wwwwwwwwwu�rmrr.n <br />_�....,,,,�,.,,m,�. .......... ..�,�............... ..... ... <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />Professional Services Check <br />eehe A�apro�� a��tc Item :"1'y �c — (���c r,� <br />gr Went ❑ Contract <br />El Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <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 />Amount of <br />F] <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />lVd61 All Submissions <br />Wr d Information <br />LJ Proposal <br />Special Purchase, QPA <br />❑� Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Ritschard Bros., Inc. <br />Yes❑ If Yes, Approved by Purchasing <br />No <br />MBE MBE Completed E-Verify Form Attached Yes <br />Fj No <br />320 at the Cascade — Site Utilities, Division B <br />_... ,..m...........................................�..��r�uu_...............................................................................� .�_ <br />I I8-074D, Div. B <br />River East TIF <br />...... <br />429 1050-460-42.02 <br />C <br />:,hanbye Order No.,...J accounts for unforeseen foundation and abandoned <br />watermain removal. <br />For Cl1 <br />Orders Onl <br />Increase 4.01 <br />Total Percent of Change: Decrease /o <br />Time Extension Amount:, 0 days <br />NewCompletion Date: 8/05/2019...........................................................................................��- <br />