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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date04/22/2020 <br />Department Public Works <br />NameBecca Plantz <br />BPW Date04/28/2020Phone Extension5998 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />Officer NameMichael Patton <br />and Inclusion Officer <br />BPWAttorneyAttorney NameClara McDaniels <br />Dept. AttorneyAttorney Name <br />Purchasing <br />Check the Appropriate Item Type –Required for All Submissions <br />Professional Services AgreementContractProposal <br />Open Market ContractAmendment/Addendum Special Purchase, QPA <br />Bid OpeningBid AwardReq. to AdvertiseTitle Sheet <br />Quote OpeningQuote AwardReject Bids/Quotes <br />Proposal OpeningC/O & PCA No. PCA <br />Chg. Order, No. Traffic ControlResolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />YesIf Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBEYes <br />MBE/WBE ContractorCompleted E-Verify Form Attached <br />WBE No <br />Project NameMain & Colfax Parking Structure Repairs 2020 <br />Project Number 115-143B <br />Funding SourceRepairs & Maint. Services / Building R&M <br />Account No.601-0460-645.36-01 <br />Amount <br />Terms of ContractUnit Prices <br />Purpose/DescriptionReject bids on the second phase of structural repairs to the Main & Colfax <br />Parking Structuredue to budget. <br />For Change Orders Only <br />$ <br />Increase <br />Amount of <br />Decrease($) <br />Previous Amount$ <br />% <br />Increase <br />Decrease(%) <br />Current Percent of Change: <br />New Amount$ <br />% <br />Increase <br />Decrease(%) <br />Total Percent of Change: <br />Time ExtensionAmount: <br />New Completion Date: <br />