PCA - Water Works North Pumping Station Well Replacement Proj No. 117-031R - Peerless Midwest, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01 /10/2020 Department y Villa Name To�/�J Engineering ....._ .� ........� .. ............._. BPW Date 01/28/2020 Phone Extension 5920 Re Uired Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney ❑ Attorney Name .................................... Purchasing � .........� �........ Check the Appropfiate Item Type — Re " Professional Services Agreement Contract Open Market Contract E Amendment/Addendum ❑ Bid Opening Bid Award Quote Opening ❑ Quote Award Proposal Opening ❑ C/O & PCA No. [:] Chg. Order, No. F-1 Traffic Control [j Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information r�'All Submissions Proposal Special Purchase, QPA F1 Req. to Advertise Reject Bids/Quotes ® PCA ❑ Resolution Ease./Encroach ❑ Title Sheet Peerless Midwest, Inc. -_..............................................._ ............. ❑ Yes ❑ If Yes, Approved by Purchasing ❑ No MBE Completed E-Verify Form Attached El Yes [j WBE ❑ No North Station Well No. 1 Replacement _.. _................................... ..__............... 117-031R �........ _ ...... .-..-............................... Water Works 622.0640.661.46.02 . $547,558.72............__......... _._.............. �..._ Project Closeout For Ci�aaii Orders Oil mm Amount of Increase .-$_.......... .. ..................... Decrease ($ ) Previous Amount $ Increase 0% .................... ..__...... _ Current Percent of Change: Decrease .._...................... (0%) New Amount $ ...........�.........- ......................._................... ........... ........_ ...... Increase _. 0% Total Percent of Change: Decrease 00/0 Time Extension Amount: 0 New Comaletion Date: .................... 12/21 /2019 .............................._ .............