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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/02/2020 <br />..... ... .....m... <br />Name l�oy Villa Department Engineering <br />BPW Date 01/14/2020 Phone Extension 5920 <br />H <br />R �r xl Prior to Submittal to Board <br />.__ ._._.._. ...... <br />BPW Attorney n Attorney Name <br />Dept. Attorney F-1 Attorney Name <br />Purchasing n <br />Check the Appropriate Item Tyra — Reouir ed lc r° All Submissions <br />Professional Services Agreement R Contract <br />❑ Open Market Contract <br />Amendment/Addendum <br />❑ <br />Bid Opening <br />Bid Award <br />Quote Opening <br />Quote Award <br />0 <br />Proposal Opening <br />Z <br />C/O & PCA No. 1(final) <br />Chg. Order, No. <br />Traffic Control <br />❑ <br />Other: <br />Reciuiral Information <br />LJ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />E] Resolution <br />❑ Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name Ritschard Bros., Inc. <br />...._.......W...... __ .................... <br />New Vendor F YesFj If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name 2019 Demolitions, Phase I <br />............ <br />Project Number 119-035 �._�����....... ..._............... <br />....... ---............................... ........... <br />Funding Source WW A TIF/RWDA TIF/EDIT <br />Account No. 422.1050.460.42.01/324.1050.460.42.01/408.1050.460.36.01 <br />Amount $ <br />Terms of Contract <br />.. ........................... w ._................... .__.......... <br />Purpose/Description <br />For Change -Orders Oul <br />Amount of ❑ Increase $......................................... <br />Decrease ($ 8 620.60 <br />Previous Amount $ 115,365.00 <br />...... <br />Increase % mm........................ <br />o.. ............................ <br />Current Percent of Change: Decrease �7 /o .................... w................................ <br />New Amount $ 106,744.40 <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase % <br />Decrease (7' 47% o) <br />