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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Awugu t 6 2019 <br />Name Charlotte Brach Public Works — Eng. <br />BPW Date August 13'' 2019 Phone Extension 9246 <br />A.. '� NWW�WWVIIWB�W�N'M'MM MlNH�1 <br />�. le�ired, Prior to Submittal to Board <br />PW Attorney Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the A� pp 1 <br />Pr mItem Type � � qu <br />Professional Services Agreement 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 />n Other: <br />All Submissions <br />J Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />EJ Resolution <br />Ease./Encroach <br />-.Required, Information <br />Company or Vendor Name Ritschard Bros., Inc. <br />._._................ _.._.................. <br />.. <br />New Vendor El Yesn If Yes, Approved by Purchasing <br />® No <br />❑ Title Sheet <br />❑ <br />MBE/WBE Contractor <br />MBE Completed E-Verify Form Attached <br />❑ Nos <br />Project Name <br />Unity Gardens Learning Center Site Improvements <br />Project Number <br />_�. <br />117-05OR <br />Funding Source <br />RWDA TIF <br />ww_ <br />Account No. <br />�������.. ....... ....... _ _.....-...rww <br />324-1050-460-42.01 <br />Amount������ <br />_............................�.�.�.�.�.�................�_�... . ............ <br />Terms of Contract <br />Base Quote . �.�...� .... <br />Purpose/Description <br />�. <br />For Chan ge �O dgns nl <br />Amount of <br />$ 4 38m1.85 <br />_..�.�. � .....�.6 ,.,,,,�,,,,,�.. ......�.. ..�.W......... �..... <br />❑ <br />DeceIncrease <br />ease ($ ) <br />Previous Amount <br />$ 69,160.00 <br />Increase 6.34% <br />Current Percent of Change: <br />Decrease A <br />New Amount <br />$ 73,541.85 <br />Increase 6.34% <br />Total Percent of Change: <br />Decrease % <br />Time Extension Amount:. <br />New Completion Date: <br />