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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/07/2020 <br />Name Becca Plantz Department Public Works <br />BPW Date 04/12/2020 Phone Extension 5998 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ Officer Name Michael Patton <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Abbrobriate Item TvDe — <br />All Submissions <br />U Professional Services Agreement U Contract U Proposal <br />❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA <br />® Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Information <br />Company or Vendor Name <br />New Vendor ❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor ❑ ❑ <br />MBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Project Name Main & Colfax Parking Structure Repairs 2020 <br />Project Number 115-143B <br />Funding Source Repairs & Maint. Services / Building R&M <br />Account No. 601-0460-645.36-01 <br />Amount <br />Terms of Contract Unit Prices <br />Purpose/Description Second phase of structural repairs to the Main & Colfax Parking Structure. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease % <br />Time Extension Amount: <br />New Combletion Date: <br />