Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date06/17/2020 <br />Department Public Works <br />NameBecca Plantz <br />BPW Date06/23/2020Phone 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 NamePatrick Engineering <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 NameWest Side Quiet Zone <br />Project Number 117-114 <br />Funding SourceEngineering Professional Services <br />Account No. <br />101-0608-431.3106 <br />Amount Amendment Total $25,500 (Original+A1+A2=$79,000) <br />Terms of ContractNTE <br />Purpose/Description_Amendment 2 to PSA with Patrick Engineering to coordinatethe required <br />improvements and associated costswith establishing and maintaining Quiet <br />Zones. <br />For Change Orders Only <br />$ <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 Extension Amount: <br />New Completion Date: <br />