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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/16/2020 <br />Name Becca Plantz mmmITITIT <br />Department Public Works <br />BPW Date 3/24/2020 Phone Extension 5998 <br />................ <br />Review and Approval Re wired Pnor to Submittal to Board <br />._. _ wwwww <br />Diversity Compliance [] Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney Attorney Name Clara McDan els <br />Dept. Attorney [] Attorney Name <br />Purchasing <br />Check the Appropriate Item I' 1 a <br />Professional Services Agreement F-I Contract <br />Z Open Market Contract ❑ Amendment/Addendum <br />[] Bid Opening [] Bid Award <br />❑ Quote Opening [] Quote Award <br />EJ Proposal Opening F] C/O & PCA No. <br />El Chg. Order, No. ❑ Traffic Control <br />Other: <br />Retircd Information <br />All Submissions <br />LJ Proposal <br />Special Purchase, QPA <br />EJ Req. to Advertise <br />Reject Bids/Quotes <br />[] PCA <br />F] Resolution <br />[] Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />Gibson -Lewis, LLC <br />.a...W _ .. <br />[] <br />_m.......... <br />Yes If Yes, Approved by Purchasing <br />New Vendor <br />[] <br />No <br />❑ <br />MBE <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ No <br />Project Name <br />Century Center Elevator Renovation <br />Project Number <br />118-104D <br />Funding Source <br />Hotel Motel <br />Account No. <br />7304.42010.000.0099 <br />Amount <br />$168,700.._......�._���_��������__....................... .... <br />Terms of Contract <br />Lum Sum <br />Purpose/Description <br />_Upgrade and modernize the passenger elevator in the North end of the <br />Century Center building. <br />.... ........ ...... <br />..... ..... ......M.... <br />For ChangewOrders Only <br />Amount of F-1 <br />increase $ _�.. ... ___._._.............. <br />Decrease <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decreasemm_% <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />(w <br />Time Extension Amount: <br />. <br />New Conviction Date: <br />