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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date7/17/20 <br />Department <br />NameKyle SilveusEngineering <br />BPW Date7/28/20Phone Extension9083 <br />Required Prior to Submittal to Board <br />LegalAttorney NameClara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more and <br />Controller <br />greater than one year in length per the City Purchasing Policy <br />PurchasingMichael Schmidt <br />Check the Appropriate Item Type –Required for All Submissions <br />AgreementContractProposalAddendum <br />Professional ServicesResolution <br />Bid OpeningBid AwardReq. to AdvertiseTitle Sheet <br />Quote OpeningQuote Award <br />ChangeOrder No. 4C/O & PCA No. PCA <br />Ease/Encroach.Traffic Control <br />Other: <br />RequiredInformation <br />Company or Vendor Name Larson Danielson Construction Co., Inc._____________ <br />New Vendor YesNoIf Yes, Approved by Purchasing <br />MBE/WBE Contractor MBEWBE <br />MBE/WBE ContractorRequestedNoYes Name of Company <br />Project NamePulaski Park Improvements <br />Project Number 118-056 <br />Funding SourcePark Bond Series I <br />Account No.471-11-206-286-444000 <br />Amount$2,001.00 <br />Terms of Contract <br />Purpose/DescriptionAdded text to entrance sign and installed door lock covers on <br />restroom <br />Required Contractor’s Certification Form Attached(Non- <br />Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />$$2,001 <br />Increase <br />Amount of <br />Decrease$ <br />Previous Amount$896,526.75 <br />Current Percent of Change: 0.22% <br />New Amount$898,527.75 <br />Total Percent of Change:2.26% <br />Dispersal After Approval <br />Copy Original <br />