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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12-27-19 <br />Michelle Smith <br />Department Utilities <br />BPW Date 1-14-20 Phone Extension 5994 <br />9.a?MWViVItlIWIIWW.PoWWWIVIVfl'�2�YMX�.v',fJlYrfkkdi�f.�vYrF�' �w,nimmwr,�mr:;;�&&�+ wnamuun�mavmw;,wim�vuuwmmii i.... �. uou bmW�P6/v81W IIMd4��19'M'�IFY�'M":b.XWI➢1Y9N9N9N9N9NiN wvwnmvmrmr�rr <br />enmrrxm� <br />._...,__..................... . . . . ....................... —..... <br />Required Prior to Submittal to Board <br />___BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing E <br />Check the <br />Professional Services Agreement <br />Open Market Contract <br />Bid Opening <br />Quote Opening <br />[- Proposal Opening <br />Chg. Order, No. <br />Other: <br />,te Item Tw --- <br />Contract <br />E] Amendment/Addendum <br />0 Bid Award <br />FJ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />Required Information <br />All Submissions <br />Proposal <br />U Special Purchase, QPA <br />❑ Req. to Advertise <br />EReject Bids/Quotes <br />[:PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name Arcadis <br />New Vendor F� Yes[:] If Yes, Approved by Purchasing <br />No <br />MBE/WBE Contractor WBE Completed E-Verify Form Attached FI❑ No <br />�.............. <br />Project Name RRA & ERP or AWIA Compliance <br />.._..........................„_. ..................�.�.�.�..m <br />Project Number <br />Funding Source Water Works - Other <br />Account No. 620-0640-603-3135 <br />Amount$2......�.............................. _..........................................._....._..........................6 .........�,mmA.� � .....�.......�.�.�...... <br />34,090 <br />...�.�.�.�.�.�.�.�.�.�.�_.�._.�. ........... <br />.wwww........�w����� <br />Terms of Contract <br />Purpose/Description <br />To complete the Water Works Risk and Resilience Assessment and <br />Emergency Response Plan Updates required by the America's Water <br />Infrastructure Act, due in March of 2020 <br />For Ch��c�ITITOrders Only, ®a ._ <br />Amount of <br />Increase <br />❑ <br />Decrease ($ <br />Previous Amount <br />........................ �66 ,,,,.......... ... <br />$ <br />Increase /o <br />Current Percent of Change: <br />Decrease ( %) <br />New Amount <br />$ <br />Increase % .._...._........mwm <br />Total Percent of Change: <br />Decrease /o o)...............��.�.�.�.�.�.�.�.���.�..�ww... <br />( <br />Time Extension Amount: <br />New Completion Date: <br />