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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date09/18/2020 <br />Department Public Works <br />NameToy Villa <br />BPW Date 10/13/2020 Phone Extension 5920 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. AttorneyAttorney Name <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br />Professional Services AgreementContract 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 OpeningC/O & PCA No. PCA <br />Chg. Order, No. Traffic Control Resolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Larson Danielson Construction Company, Inc. <br />Yes If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br />WBE No <br />Project Name Century Center Parking Lot Entry Gateway Improvements <br />Project Number 118-035A <br />Funding Source Hotel Motel Tax Fund & Traffic Signal Maintenance <br />Account No. 7304.42010.000.0099 & 251.0608.431.36.67 <br />Amount$158,724.43 <br />Terms of Contract <br />Purpose/Description Project Closeout. <br />For Change Orders Only <br />$ <br /> Increase <br />Amount of <br /> Decrease ($ 0) <br />Previous Amount $ <br />% <br />Increase <br />Decrease (0%) <br />Current Percent of Change: <br /> <br />New Amount $ <br />% <br />Increase <br />Decrease (0%) <br />Total Percent of Change: <br /> <br />Time Extension Amount:0 <br />New Completion Date: <br /> <br />