Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/16/2019 <br />Department Public <br />Name Becca PlantzmmmmmmwwWw Works <br />BPW Date 12/19/19 Phone Extension 5998 <br />Required Prior to Submittal to Board <br />BPW Attorney Z Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the Al p opri td Item Type — e( z <br />�.... . _._p..._._ . . <br />E] Professional Services Agreement ❑ Contract <br />n Open Market Contract El Amendment/Addendum <br />El Bid Opening n Bid Award <br />EI Quote Opening ® Quote Award <br />E] Proposal Opening ❑ C/O & PCA No. <br />❑ Chg. Order, No. ❑] Traffic Control <br />❑ Other: <br />Required Informati <br />L J Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />E] PCA <br />E] Resolution <br />.Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Ritschard Brothers, Inc. <br />..................................................... <br />�] YesIf Yes, Approved by Purchasing <br />New Vendor <br />-1 No <br />�❑ <br />MBE/WBE Contractor <br />WBE Completed E-Verify Form Attached ❑ No <br />Project Name <br />West Side QIT iet Zone Commercial Drive Relocation <br />Project Number <br />120-011 <br />Funding Source <br />LRSA Ma'or ects........ .... <br />�66666 �Pro.......,.. <br />Account No. <br />251-0608-431.42-96 <br />Amount <br />$49,3 80.00 <br />Terms of Contract <br />w_. ....-....__ .......... <br />Lump Sum — Award subject to legal access agreement. <br />Purpose/Description <br />Partial demolition of an ove laan structure and removal and re la erat We 1" <br />fencing. <br />For Change Orders O!ily <br />Amount of 1:1 Increase $ <br />❑ Decrease$ <br />Previous Amount $ ...........-............_.............��.._____..��. <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease ( 0',) <br />Increase % <br />( u uu%0 Decrease <br />