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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/19/19 <br />Name Scott Kree2cr Department: Engineering <br />BPW Date 11/26/19 Phone Extension 5932 <br />WW <br />BPW Attorney <br />Attorney Name Clara McDaniels <br />Dept. Attorney <br />❑ <br />Attorney Name <br />Purchasing <br />Michael Schmidt <br />ILJ Professional Services Agreement H Contract <br />EJ <br />Open Market Contract ❑ Amendment/Addendum <br />E] <br />Bid Opening ® Bid Award <br />Quote Opening El Quote Award <br />Proposal Opening C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />F� Other: <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 />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />❑ PCA <br />E] Resolution <br />Ease./Encroach <br />Walsh & Kelly_Inc. <br />❑ Yes❑ If Yes, Approved by Purchasing <br />No <br />F� MBE <br />WBE Completed E-Verify Form Attached El Nos <br />East Bank Trail Storm Repairs <br />118-306 <br />Liability Insurance Fund <br />226-0419-672.42-03 <br />$211,800 <br />Lump Sum <br />Storm Damage Re air of the .Fast. Bank Trail pavement, <br />Amount of Increase $ <br />F1 Decrease $ <br />Previous Amount $ <br />Increase 0.0% <br />.... _.... ... _._._... <br />Current Percent of Change: Decrease ( /o <br />o <br />New Amount $ <br />..................... .................. <br />Increase % <br />Total Percent of Change: Decrease (0.0%) <br />Time Extension Amount: 0 Days <br />New Completion Date: <br />