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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 09/04/201.9 <br />Name Tea. _.�..' <br />��..........�........ � Public Works — Eng. <br />...... . <br />BPW Date 09/24/ 019 PhRNMRNone Extension 5920 _..__. <br />ITIT...c� uired Prior to Submittal ._...__._.... ___W ma.. <br />bmittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney FAttorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type <br />Professional Services Agreement Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening Quote Award <br />E] <br />Proposal Opening [ C/O & PCA No. <br />Chg. Order, No. El Traffic Control <br />Other: <br />All Submissions <br />❑ Proposal <br />n Special Purchase, QPA <br />E Req. to Advertise <br />❑ Reject Bids/Quotes <br />® PCA <br />El Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name Ritschard Bros., Inc. <br />❑ Yes 0 If Yes Approved b Purchasing <br />New Vendor p y <br />® No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Protect Name <br />Unity Gardens Learnin Center Si w <br />to Improvements <br />Project Number <br />117-05OR <br />Funding Source <br />R WDA TIF <br />Account No. <br />_—.........mw� <br />324-1050-460-42.01 _..........._.......................................va <br />Amount <br />$73,541.85 <br />..._ �..w.... <br />Terms of Contract <br />--� � __ ._ ......_—........M <br />Project Closeout <br />Purpose/Description <br />_...... _ For Chang Orders....0' ....._m ... <br />mount of ❑ <br />increase $ _.------ - .......�.. nY_ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />..,..Increase. ...... ............ �.�.........�.�.�.�.........- <br />% <br />Current Percent of Change: <br />Decrease ( % <br />New Amount <br />.�..............�...._... <br />Increase <br />Total Percent of Change: <br />Decrease (m % <br />Time Extension Amount: <br />New Completion Date: <br />