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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date09/15/20 <br />Department <br />Name Alicia Czarnecki <br />Engineering <br />BPW Date09/22/20 Phone Extension 5903 <br /> <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br /> Officer Name <br />and Inclusion Officer <br />BPWAttorney Attorney Name <br />Dept. Attorney Attorney Name <br /> <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. PCA <br /> Chg. Order, No. 2 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Rieth-Riley Construction Co., Inc. <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE MBE MBE <br />MBE/WBE Contractor <br /> WBE WBE WBE <br />Project Name Pinhook Park Site Improvements <br />Project Number 118-077A <br />Funding Source Park Bond H & J, DNR Grant <br />471-11-206-287-444000--PROJ00000064 / 471-11-206-285-444000-- <br />Account No. PROJ00000064 / 201-11-206-273-444000--PROJ00000064 <br />Amount <br />Terms of Contract NTE <br />Purpose/Description _CO #2: Add parking lot resurfacing into scope, miscellaneous credits from <br />base bid.______________ <br />For Change Orders Only <br />$ <br /> Increase <br />Amount of <br /> Decrease ($ 24,556.76) <br />Previous Amount $ 1,288,425.00 <br /> <br />Increase <br />Decrease (1.91%) <br />Current Percent of Change: <br /> <br />New Amount $ <br /> <br />Increase <br />Decrease (2.77%) <br />Total Percent of Change: <br /> <br />Time Extension Amount: 0 <br />New Completion Date: <br /> <br />