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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 09/08/2020 <br />Name Toy Villa Department Public Works <br />BPW <br />Date 09/22/2020 Phone Extension 5920 <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re <br />uired or All Submissions <br />❑ Professional Services <br />❑ Contract <br />❑ Proposal <br />Agreement <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Reject Bids/Quotes <br />❑ Proposal Opening <br />® C/O & PCA No.l Final <br />❑ PCA <br />❑ Chg. Order, No. <br />❑ Traffic Control <br />❑ Resolution <br />n Other: <br />n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Information <br />Rieth Riley Construction Co., Inc <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />❑ WBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Community Crossings Round 2 <br />119-065 <br />Local Road and Bridge Grant <br />265.0608.431.36.10 <br />Project Closeout. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />® Decrease ($ 7,467.97) <br />Previous Amount $ 781,450.00 <br />Increase % <br />Current Percent of Change <br />New Amount <br />Decrease (0.96%) <br />$ 773,982.03 <br />Increase % <br />Total Percent of Change: Decrease 0.96% <br />Time Extension Amount: <br />New Completion Date: <br />