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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date _10/14/19.... <br />Name Kyle Silveus Department Enginee <br />rinmmmmmmmmmmmmm wwwwwwwwwww <br />BPW Date 10/22/19 Phone Extension 9083 <br />Required ired Prior to Submittal to Board <br />Legal ❑ Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Check the <br />L_j Agreement <br />® Professional Services <br />❑ Bid Opening <br />E! Quote Opening <br />El Change Order No. <br />El Ease/Encroach. <br />FOther: <br />Michael Schmidt <br />wro riate Item Type <br />C] Contract <br />F-1 Resolution <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O &PCANo. <br />❑ Traffic Control <br />d for All Sut <br />Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />Company or Vendor Name Abonmarche Consultants Inc. <br />New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE F- WBE <br />MBE/WBE Contractor Requested ❑ No Yes Name of Company <br />Project Name _.-Eagle U" ay Seer E r Extension <br />Project Number 119 095 <br />.......---- - -----------_ <br />FI-Addendum <br />❑ Title Sheet <br />Funding Source RWDA TIF <br />.................._ww_ ww_w__....._ ,......................... __._.._._._ . ..... <br />Account No. 324-1050-460-31.02 <br />Amount. $....33,10�0.00 ..___ ._._._._.. � �................���������������........._............w� <br />Terms of Contract LS, Hourly Not to ...... _._.._._ <br />.._— Exceed <br />_ .�..�............. <br />Purpose/Description Decommissioning of existing Eagle Way lift station coordination of <br />new sewer easements design construction documents bidding and <br />construction administration for new gravity sanitary sewer from <br />Eagle Way to Nimtz Parkway, <br />[J Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifvw Iran, etc.) <br />Amount of F] Increase <br />E] Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />DispersalAfterApproval <br />Copy <br />Original <br />❑ <br />F] <br />❑ <br />F] <br />❑ <br />El <br />