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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date04/06/2020DepartmentPublic Works <br />NameAlicia CzarneckiDivision/BureauEngineering <br />BPW Date04/14/2020Phone Extension5903 <br />Required Prior to Submittal to Board <br />LegalAttorney Name: <br />Controller review is required for all Contracts $5,000.00 or more and <br />Controller <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the Appropriate Item Type Required for All Submissions <br />AgreementContractProposalAddendum <br />Professional ServicesResolution <br />Bid OpeningBid AwardReq. to AdvertiseTitle Sheet <br />Quote OpeningQuote Award <br />ChangeOrder No. C/O & PCA No. PCA <br />Ease/Encroach.Traffic Control: <br />Other: Amendment No. 2 <br />RequiredInformation <br />Company or Vendor NameLawson-Fisher Associates P.C. <br />YesNoIf Yes, Approved by <br />New VendorPurchasing <br />MBE/WBE ContractorMBEWBE <br />MBE/WBE Contractor RequestedNoYes Name of Company <br />Project NameOlive Street Reconstruction <br />Project Number 114-064 <br />Funding Source <br />RWDA TIF <br />324-1050-460.31-02 <br />Account No. <br />Amount$14,525.00 <br />Terms of ContractNot to Exceed <br />Purpose/Description <br />The Amendment No. 2is forseparating this project into two <br />construction phases, and associated design and plan <br />development, utility coordination services, and right-of-way plan <br />development. <br />Required sAttached(Non- <br />Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />$ <br />Increase <br />Amount of <br />Decrease$ <br />Previous Amount$ <br />Current Percent of Change: % <br />New Amount$ <br />Total Percent of Change:% <br />