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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/20/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 08/27/2019 Phone Extension 3057 <br />N m: <br />.: �... .. wwwwwww www -Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney F-j Attorney Name <br />Purchasing <br />" Professional Services Agreement H Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />® Bid Award <br />F-] Quote Opening <br />F-1 Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />[❑ Chg. Order, No. <br />❑ Traffic Control <br />❑' Other: <br />Required Informatic <br />Company or Vendor Name Ziolkowski Construction, Inc. <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 />L_] Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />F-1 Resolution <br />F-1 Ease./Encroach <br />❑ Title Sheet <br />U Yes U If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />315 & 319 W. Jefferson Exterior Renovations — Division B <br />119-064, Div. B <br />RWDA TIF <br />324-1050-460-42.02 <br />......_........_._....._....._........._..................................................................................�...._...... www_........... <br />....w...... <br />$39,574.00 <br />Lumn Sum <br />Award masonry repair bid — Division B. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />w www <br />❑ Decrease ($ ) <br />PreviousAmount $ � .,.,.,.,.,....................................................................._ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />0 <br />Increase <br />Decrease ( /o <br />Increase % <br />Decrease (.w..,.. .... % <br />