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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 24, 2019 Department Public Works <br />Name 'Theresa ....._._. �._......... <br />E. Harrison, P.E.Division/Bureau Engineering <br />BPW Date October 8, 2019 Phone Extension 5661 <br />��m�u maaaaa � <br />...—...... .._ <br />fortuiwred wPrior to Submittal to Board <br />__.._ ........ _.._ ..��..� ......._. <br />Legal ® Attorney Name: Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El._......_ .. ...... _. <br />ChecktheAppropriate Jtem war Required for All Submissions ITITIT www <br />EJ Agreement Amendment E] Contract LJ Proposal Addend -um <br />F1 Professional Services ❑ Resolution <br />E] Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />El Quote Opening ttote rd— <br />[] Change Order No. ❑ C/O & PCA No. ❑ PCA <br />Ease/Encroach. ❑ Traffic Control: <br />F] Other: <br />Required Information <br />Company or Vendor Name Walsh & Kelp, Inc. <br />❑ Yes M No <br />...... If YesAp , p.r .._W.. oved by ................ <br />. ____.. _ing�. <br />New Vendor Purcha �..._..... _......... _ ............. <br />MBE/WBE Contractor . <br />s <br />❑] MBE WBE <br />MBE/WBE Contractor Requested Con .._.. _.�... _.. <br />q ❑ No ❑Yes Name of � p ..a mmm m <br />Project Name East Longfellow Avenue &' North Riverside Drive Trammffmmic "Calming <br />Project Number 118-113 <br />Funding Source LRSA Capital Major Projects for Traffic Calming Devices <br />Account No. 251-0608-431.42-96 <br />Amount $72,850.00 <br />�..w ....._ ............. <br />-_..... _ _.. _W.. <br />Terms of Contract Completion date June 15, 2019 <br />Purpose/Description <br />N Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />uiwred For Change Orders Only <br />IncreasAmount of .94 <br />Decrease $ 3,473--___ <br />Previous Amount $ 0.00 <br />Current Percent of Change, 4.77% _..... --------- <br />New Amount $76,323.94 <br />Total Percent of Chance: 4.77% <br />Dis ersal After A rrovaI <br />Copy Original <br />. City Engineer <br />Kara M Boyles, Ph.D., P.E. - <br />........... ._............_......._ <br />® ......_. .... ....�.�.........�w �. <br />❑ Roger T. Nawrot, P.E., PLS - Assistant City wEngineer <br />