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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/17/19 <br />Name Alicia Czarnecki Department Engineering <br />_.W <br />BPW Date 12/:19/19 Phone Extension 5903 <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Item r e I?eg1' fired or All Submissions <br />�f Professional Services Agreement " Contract <br />Open Market Contract El Amendment/Addendum <br />Bid Opening Bid Award <br />E ]I Quote Opening E] Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />® Chg. Order, No. 1 Final ❑ Traffic Control <br />ElOther: <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 />Required Information <br />L j Proposal <br />El Special Purchase, QPA <br />0 Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />E Resolution <br />0 Ease./Encroach <br />❑ Title Sheet <br />Larson Danielson Construction Co., Inc. <br />❑ Yes 0 If Yes, Approved by Purchasing <br />No <br />] MBE Completed E-Verify Form Attached ❑ Yes <br />�] WBE ❑ No <br />Morris Theater Handrails <br />....._u _...... <br />119-074 <br />VPA Morris <br />416-0404 453.36-01 <br />$85„560.00 <br />The complete installation of handrails at the Morris Theater. <br />For <br />Amount of Increase $ 1. <br />Decrease ($ <br />Previous Amount $ 85,560.00 <br />Current Percent of Change: <br />New Amount <br />sae, Orders <br />50.00 <br />Increase 1.46% <br />Decrease <br />$ 86,810.00.............. <br />Increase % <br />......................... __.._._. <br />Total Percent of Change: Decrease ( /o) <br />0 <br />Time Extension Amount: <br />............... _ _..........._ __................ <br />New Comp <br />letion Date: <br />