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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date09/29/2020 <br />DepartmentDPW <br />NameZach Hurst <br />BPW Date10/13/2020Phone Extension3057 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />Officer Name <br />and Inclusion Officer <br />BPWAttorneyAttorney Name <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 Award Reject Bids/Quotes <br />Proposal OpeningC/O & PCA No. PCA <br />Chg. Order, No. 2Traffic ControlResolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor NameSlatile Roofing and Sheet Metal <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 NameGemini at Colfax –Exterior Renovations <br />Project Number 119-103, Division B (Masonry Repairs) <br />Funding SourceRWDATIF <br />Account No.324-10-102-121-443001 <br />Amount$22,443.00 <br />Terms of Contract <br />Purpose/DescriptionChange order covering unexpected deterioration at bond beams and footings. <br />For Change Orders Only <br />$22,443.00 <br />Increase <br />Amount of <br />Decrease($) <br />Previous Amount$345,685.00 <br />6.49% <br />Increase <br />Decrease(%) <br />Current Percent of Change: <br />New Amount$368,128.00 <br />20.70% <br />Increase <br />Decrease(%) <br />Total Percent of Change: <br />Time ExtensionAmount:12days <br />New Completion Date:9/4/2020 <br />