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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 21 2019 <br />Name Charlotte Brach Public Works — Eng. <br />BPW Date December 1.0 2019 Phone Extension 9246 <br />m^rwurm�wmu�mmmolwwuww�ommwww.�omomom amwmrmwwwwttaw ruwamwuuv <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney El Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — <br />❑ Professional Services Agreement Contract <br />❑ Open Market Contract <br />❑ <br />Amendment/Addendum <br />❑ <br />Bid Opening <br />❑ <br />Bid Award <br />El <br />Quote Opening <br />Quote Award <br />Proposal Opening <br />❑ <br />C/O & PCA No. <br />® Chg. Order, No. 1 <br />❑ Traffic Control <br />EJ 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 />Information <br />All Submissions <br />" Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />[� Reject Bids/Quotes <br />E] PCA <br />El Resolution <br />Ease./Encroach <br />Rieth-Riley Construction Co., Inc. <br />__............................ ww <br />Yes[:] If Yes, Approved by Purchasing <br />® No <br />❑ Title Sheet <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Fire Station Parking LotImprovements.... . <br />119-059 <br />......_.. �._ <br />Capital Improvements/Building Immprovements <br />287-0902-422.42-02����� <br />Base auote Dlus alternate 1 <br />For Change Orders Only <br />.-._......._. mm_ <br />Amount of Increase $ 4,861 01 ,.. <br />❑ Decrease ($ ) <br />Previous Amount <br />$ 123,817.50 <br />..................................._�w <br />Increase.�..._ <br />3.93% <br />Current Percent of Change: <br />Decrease % <br />New Amount <br />$ 128,678.51 <br />Increase 3.93% <br />Total Percent of Change: <br />Decrease AmW......%o <br />Time Extension Amount: <br />New Completion Date: <br />