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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 3, 2019 <br />�.,,,,,,�,�.����....A..�a....�...�.�...�............w Department Public <br />Name.............._..............................aScott ....Kree..er...__...... Works <br />BPW Date September 10 2019 Phone Extension 9245 <br />le uirc Prior to Submittal to Board <br />BPW Attorney E] Attorney Name _ Clara McDaaniels <br />Dept. Attorney Attorney Name <br />Purchasing Michael Schmidt <br />Item"j:ype -- �q.tdred r All Submissions <br />H Professional Services Agreement e Contract <br />Open Market Contract <br />Amendment/Addendum <br />E] <br />Bid Opening <br />Bid Award <br />R <br />Quote Opening ❑j <br />Quote Award <br />❑ <br />Proposal Opening <br />C/O & PCA No. <br />® <br />Chg. Order, No. 2 <br />Traffic Control <br />E] Other: <br />qui ed Information <br />Company or Vendor Name Michiana Contracting, 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 />" Proposal <br />El Special Purchase, QPA <br />[] Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />0 Yes If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />VPA Restroom Remodeling., ... . ............. ____ ..................... _ - ----- <br />118-043R <br />.......... ......... ......... <br />H.....r.... _. <br />471 1138-452.42-01 <br />Parks Bond I <br />Time extension on Contract <br />For Chau e Crders Only <br />Amount of ❑ Increase..... <br />❑ Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />Current Percent of Change: <br />Decrease (y % <br />New Amount <br />w <br />$ m.._...........................................................a,, .....�......�.�..�.�...�. <br />Increase <br />Total Percent of Change: <br />Decrease % <br />Time Extension Amount: <br />19 Davy <br />New Completion pleb Date: 9/ <br />.mm._t ,,.. m,,... ....� .. 18/19 <br />m ....._.. 6......_ <br />