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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/07/2020 <br />Name To Villa Department Engineering <br />�..-......® <br />BPW Date 01/14/2020 Phone Extension 5920 <br />Romwummm mmm <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Tw —. <br />Professional Services Agreement J I Contract <br />Open Market Contract ❑ Amendment/Addendum <br />FJ <br />Bid Opening E] Bid Award <br />Quote Opening E] Quote Award <br />E] <br />Proposal Opening ❑ C/O & PCA No. <br />R <br />Chg. Order, No. ❑ Traffic Control <br />Other: <br />Information <br />Company or Vendor Name Ziolkowski Construction, Inc. <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 />All Submissions <br />❑ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />® PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />I� Yes❑ If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Morris Performing Arts Center Joint Resealing <br />119-050 <br />�.... _............ ......... <br />Morris Performing Arts Center Capital <br />416.0404.453.36.01 <br />$13,726.00 <br />Project Closeout <br />�.....__ ... For Chang c Orders 111 <br />Amount of Increase $ <br />M Decrease ($ <br />Previous Amount $ <br />..... .._..........�. .....-__ ........ <br />Increase /° <br />________________ ...... .... <br />Current Percent of Change: Decrease <br />New Amount $ <br />............................. .......... <br />Increase % <br />u <br />Total Percent of Change: Decrease ( %) W <br />... .......... _............. _.............. <br />Time Extension Amount: <br />New Completion Date <br />