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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01 / 16/2020 <br />Name Toy Villa _ Department: Engineering <br />BPW Date 01/28/2020 Phone Extension 5920 <br />1�.�;� mire Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney F-1 Attorney Name <br />Purchasing 11 <br />Check the Appropriate Item Tv -De — Required <br />1 .1 Professional Services Agreement " Contract <br />❑ Open Market Contract <br />Amendment/Addendum <br />FJ Bid Opening <br />Bid Award <br />F] Quote Opening El <br />Quote Award <br />If ] Proposal Opening [- <br />C/O & PCA No. <br />® Chg. Order, No. 13 ❑ <br />Traffic Control <br />F-1 Other: <br />Required Information <br />for All Submissions <br />............. <br />❑ Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Company or Vendor Name Larson Danielson Construction Coml)any, 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 />LJ YesLJ If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached Yes <br />F] WBE No <br />Howard Park Redevelopment & St. Louis Boulevard Improvements <br />.... ........ <br />117-047B _. <br />............................ <br />.. ...... ...... <br />Park Bond, RETIF, Regional Cities & Cumulative Capital <br />.... <br />452.1101.452.02.03/ 429.1050.460.42.02/ 201.1111.452.42.01/ <br />407.1101.452.42.01 <br />A roval of C. O. #13 <br />......... For Chga�g� Orders O��...,-._. ........�.._µ_.�, ��......._.,......._.:�. <br />Amount of Increase $ 40 441.13 <br />❑ ._------------- <br />Decrease�$ .............................. w___........ <br />Previous Amount <br />$ 18,833,658.15 <br />Increase 0.21 % <br />ITmmmm% <br />Current Percent of Change: <br />Decrease(.. <br />New Amount <br />$ 18,874,099.28 <br />Increase 0. 29% <br />Total Percent of Change: <br />Decrease 0.0%) <br />Time Extension Amount: <br />0 Days_ <br />New Completion Date: <br />_ w <br />12/15/2019 <br />