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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/3/2019 <br />Department Public <br />Name Becca Plantz Works <br />BPW Date 9/10/19 Phone Extension 5998 <br />.._ ..... ..............— ........... _. <br />)required Prior to Submittal to Board <br />—-.._.m. _......._ ....... _ .........-.............. <br />�. _ ....�.. <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing �] <br />Check the Appropriate ItemType <br />❑ Professional Services Agreement Contract <br />] Open Market Contract <br />® Amendment/Addendum <br />El Bid Opening <br />❑ Bid Award <br />F_] Quote Opening <br />❑ Quote Award <br />❑ Proposal Opening <br />C/O & PCA No. <br />E] Chg. Order, No. <br />❑ 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 />wired Information <br />All Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />E] Reject Bids/Quotes <br />E] PCA <br />E] Resolution <br />Ease./Encroach <br />McCormick Enn �ririg, LLC <br />0 Yes ❑ If Yes, Approved by Purchasing <br />No <br />❑ Title Sheet <br />F] MBE <br />F] WBE Completed E-Verify Form Attached F] N s <br />y.. ..._'out' Bend Stormwater On -Call Services <br />Cit o South ..M v .._._.�...���...._����� w _......� <br />118-013 <br />g st ..,.,.,....... �___.__._._ �.., ) <br />$59,450.00 Ori anal: $20,000, 1 Amend- $20 000• New Total: $99,450 <br />Additional tasks related to the analysis of stormwater issues within the City <br />,. <br />........ ....... .. <br />For Chan e Orders Only <br />Amount of <br />Increase $ <br />❑ <br />Decrease �$ ) <br />Previous Amount <br />$ ___— --- . ............................................ <br />.......o................ _. <br />Increase <br />.m............... ....._...........�........_........_�_�_�.............. <br />/o <br />Current Percent of Change: <br />Decrease <br />................. <br />%) <br />New Amount <br />$ <br />Increase <br />/o <br />Total Percent of Change: <br />Decrease <br />( /o) <br />Time Extension Amount: <br />New Completion Date: <br />