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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/28/2020 <br />Name Toy Villa Department En ineerin <br />BPW Date 3/10/2020 Phone Extension 5920 <br />WWWv <br />mired Prior to Submittal to Board <br />BPW Attorney R Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing R <br />Check the Appropriate Item Twe — <br />❑ Professional Services Agreement E Contract <br />❑ <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />[-1 Bid Award <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Proposal Opening <br />® C/O & PCA No. I (final) <br />❑ <br />Chg. Order, No. <br />Traffic Control <br />Other: <br />Company or Vendor Name <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 />uired. Information <br />All Submissions <br />LJ Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />....-- ....... <br />❑ Title Sheet <br />Walsh & Kelly Inc. <br />F] Yes If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />WBE ❑ No <br />Lincoln Way Est Corridor Improvements <br />117-055A <br />TIF Park Bond <br />452.1101.452.31.06 <br />ect Closeout <br />For Chan <br />Amount of ® <br />Increase $11,242 <br />❑ <br />Decrease $ <br />Previous Amount <br />$ 490,453.89 <br />Increase <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ 501,696.36 <br />mITITIncrease...._____...�. <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />......._.. <br />Ne Orders O <br />47 <br />tt 7 pM ..... ..... <br />.3� <br />