Change Order No 1 - Pinhook Park Pavilion Improvements Proj No. 118-077B - Larson-Danielson Construction Co., Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 03/03/20 Department Name Alicia Czarnecki.... ... Engineering BPW Date 03/10/20 Phone Extension 5903 m wroa�mmmomomo w ......... ........................................ Review and App°oval Recua�r Prior to Submittal to Board Diversity Compliance ❑ and Inclusion Officer Officer Name BPW Attorney ❑', Attorney Name Dept. Attorney Attorney Name Purchasing LJ _ Check the Approprj to Item ,:y l c Professional Services Ag reement eement �� gr ❑Contract Open Market Contract F-1 Amendment/Addendum ❑ Bid Opening F] Bid Award ❑ Quote Opening EJ Quote Award Proposal Opening E-] C/O & PCA No. Chg. Order, No. 1 Traffic Control F] Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of " ❑ Previous Amount Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount New C0111Dletion Date: Information All Submissions H Proposal Special Purchase, QPA [] Req. to Advertise ❑ Reject Bids/Quotes ❑ PCA [] Resolution Ease./Encroach ❑ Title Sheei Connpany, Inc. Larson -Danielson Construction_..................�............�......... ❑ Yes❑ If Yes, Approved by Purchasing ❑ No ❑ MBE MBE F MBE ❑ WBE WBE ❑ WBE Pinhook Park Pavilion Improvements 118-077B Park Bond H & J, DNR Grant ... ....._.......................ww ...... ............................. w 471-1136-452.42-01 / 471-1138-452.42-01 NTE Interior renovation of the existing pavilion at Pinhook Park ..... For Increase $ 12,796.23 .............. Decrease $ $ 164,571.00 Increase 7.78% Decrease .-�-...__....___.___ % $ 177,367.23 Increase 7.78% Decrease 0