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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />9/20/2019 <br />Nawrot <br />Department: Engineering <br />BPW Date 10/8/2019 Phone Extension 5932 <br />WJN�wj <br />..g,t� uired Prior to Submittal to Board <br />............ <br />BPW Attorney El Attorney Name <br />......... . . ...... <br />Dept. Attorney El Attorney Name <br />-- ----------- . ................... . -­ ...... ­­ ........... <br />Purchasing E� <br />Check the A I)1p ate ItemiL T�j_ hypecIPM <br />Professional Services Agreement M-Contract <br />Open Market Contract El Amendment/Addendum <br />Bid Opening E] Bid Award <br />Quote Opening [:] Quote Award <br />Proposal Opening F] C/O & PCA No. <br />Chg. Order, No. 9 ❑ Traffic Control <br />Other: <br />. . . . . ........... . .... <br />Re,mtired Information <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 />Gr All Submissions <br />F] Proposal <br />Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />� Ease./Encroach <br />Larson Danielson Construction Co pp,atiy, Inc. <br />F Yes F] If Yes, Approved by Purchasing <br />Z No <br />E] MBE Completed E-Verify Form Attached El Yes <br />[:] WBE El No <br />Howard Park Redevelopment & St. Louis Boulevard Improvements <br />117-047B <br />Park Bond, RETIF, Regional Cities & Cumulative Cap!tal <br />............. <br />452.1101.452.02.03/429.1050.460.42.02/201.1111.452.42.01/407.1101 <br />.452.42.01 <br />Approval of C. O. #9 <br />. .......... . . . . ...... <br />For Ch Orders Only <br />Amount of Z increase 128,,359.00 <br />Decrease <br />Previous Amount $ 18,217,400.58 <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New COMDletion Date: <br />Increase <br />Decrease <br />$ 18,345,759.58 <br />.. . .......... -- <br />Increase <br />Decrease <br />024ys-" <br />12/15/2019 <br />0.68% <br />.52%) <br />