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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/1/2019 <br />Name Becca Plantz <br />Department Public <br />Works <br />BPW Date 10/08/19 Phone Extension 5998 <br />ammmmmmmrvmoommmmm mmmmm <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the Appro riate Item Ty y <br />�] Professional Services Agreement ❑ Contract <br />Open Market Contract Amendment/Addendum <br />Bid Opening FJ Bid Award <br />[� Quote Opening Quote Award <br />'❑ Proposal Opening C/O & PCA No. <br />❑ Chg. Order, No. Traffic Control <br />Other: <br />q liy All Submissions <br />Proposal <br />[� Special Purchase, QPA <br />❑ Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />_.. __. _.._._.........__._ <br />❑ Title Sheet <br />Company or Vendor Name Larson Danielson Construction Company, Inc. <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor ❑ No <br />MBE/WBE Contractor MBE Completed E-Verify Form Attached Yes <br />WBE E] No <br />Project Name Ccnttrr outer Pawling Lot End Gateway Improvements <br />Project Number 1 -0 <br />Funding Source Hotel Motel Tax Fund & Traffic Signal Maintenance <br />Account No. 7304.42010.000.0099 & 251-0608-431.36-67 <br />...... .............w.w _.. <br />Amount $155,948.44 <br />... ... . ...................................................................................................... <br />Terms of Contract Lump SumandUnit Prices <br />.............. <br />_......._...................._................._._._._......_____............................................................................_........................................wmw_�_� �__ .... <br />Purpose/Description Renovate the existingCentu Center west arkin lot entrance off momf Dr. <br />Martin Luth r &Jiq&jr. Boulevard, <br />__ <br />For Change Orders nl:......._ <br />Amount of <br />❑ Increase <br />Decrease ($ ) <br />_ ,..... .,. ....... ...A........_ ......... <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease <br />Increase % <br />Decrease ( % <br />