Change Order No 1 & PCA - Jackson Road Sanitary Sewer Extension Proj No. 119-072 - HRP Construction, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 0� 1 /02/2020 'cap° Villa Department Engineering BPW Date 01/14/2020 Phone Extension 5920 NMI Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney R Attorney Name Purchasing Check the Appropriate Item Type —Required,lbr All Submissions Professional Services Agreement ❑ Contract ❑ Open Market Contract 0 Amendment/Addendum ❑ Bid Opening F-1 Bid Award Quote Opening E] Quote Award Proposal Opening ® C/O & PCA No. I(final) [� Chg. Order, No. ❑ Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description uired Information H Proposal Special Purchase, QPA ❑ Req. to Advertise Reject Bids/Quotes PCA Resolution Ease./Encroach ❑ Title Sheet HRP Construction, Inc. Yes If Yes, Approved b ❑ Pp .-y...... Purchasing No F] MBE MBE Completed E-Verify Form Attached Nos Jackson Road Sanitary Sewer Extension 119-072 Sewer Contractual 641.0621.792.63.35 ..... _—.. .�.. For Change Orders Otal ��......._..._ _ .___...... Amount of F Increase $ ..._. Z Decrease _. $ 4,.833 0 ...__ .............a Previous Amount $ 115,820,00 ........-._.. ......................-... _M.................................... Increase % Current Percent of Change: Decrease 0.17%) New Amount $ 110,987.00 __............ .... .... _.-............ _. �.�..............�. Increase % Total Percent of Change: Decrease 4 17%......_.__ ... Time Extension Amount: . ........................... New Completion Date: