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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 06/17/2020 <br />Name Patrick Sherman Department VPA <br />BPW Date 06/23/2020 Phone Extension 5601 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer ❑ Officer Name <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re uired or 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. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Information <br />Company or Vendor Name <br />Alliance Architects <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MB❑ Yes <br />MBE/WBE Contractor <br />E Completed E-Verify Form Attached ❑ <br />❑ No <br />Project Name <br />Howard Park Renovation <br />Project Number <br />117-047 <br />Funding Source <br />TIF Park Bond <br />Account No. <br />452-11-206-289-431000 <br />Amount <br />$22,831.00 <br />Terms of Contract <br />AIA contract originally approved 06/27/2017 <br />Purpose/Description <br />This includes additional services approved by Engineering to include Cafe <br />design services, Event lawn sidewalk design, and LEED Carbon Credits. <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 />