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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/04/2020 <br />Department Engineering <br />Name Toy Villa <br />BPW Date 05/12/2020 Phone Extension 5920 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br /> Professional Services Agreement Contract 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.2(Final) PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor NameWalsh & Kelly, Inc. <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />Project Name Michigan Street Reconstruction <br />Project Number 118-075 <br />Funding SourceRWDA <br />Account No. 324.1050.460.42.03 <br />Amount <br />Terms of Contract <br />Purpose/Description _Project <br />Closeout_______________________________________________________ <br />_______________________________________________________________ <br />______________________________________________________ <br />For Change Orders Only <br />$ <br /> Increase <br />Amount of <br />Decrease $65,988.74 <br />Previous Amount $ 1,937,594.60 <br /> % <br />Increase <br />Decrease (3.41%) <br />Current Percent of Change: <br /> <br />New Amount$ 1,871,605.86 <br /> % <br />Increase <br />Decrease (2.13%) <br />Total Percent of Change: <br /> <br />Time ExtensionAmount: <br />New Completion Date: <br /> <br />