Sewer and Water Main Extension Agreement - Extend City Utilities to Fredrickson Commons

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 10/01/2020 Name Zach Hurst Department LUr• BPW Date 10/13/2020 Phone Extension 3057 Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name BPW Attorney ❑ Attorney Name Dept. Attorney ® Attorney Name Sandra Kennedy Purchasing ❑ Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ® Other: Sewer and Water ❑ Ease./Encroach Main Extension Agreement Information Company or Vendor Name Five Corners LLC ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor ❑ No MB❑ Yes MBE/WBE Contractor E Completed E-Verify Form Attached ❑ ❑ No Project Name Fredrickson Commons Project Number DP18-096 Funding Source Account No. Amount Terms of Contract Purpose/Description Agreement to extend City utilities to a new detached housingdevelopment. evelopment. For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: