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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/15/2020 <br />Name Leslie Biek Department Engineering <br />BPW Date 10/27/2020 Phone Extension <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing Ron O’Connor <br />Check the Appropriate Item Type – Required for All Submissions <br /> Professional Services Agreement Contract 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 Opening C/O & PCA No. PCA <br /> Chg. Order, No. 2 & 3 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Rieth Riley <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name Corby Ironwood Rockne Intersection Improvement <br />Project Number 116-034 <br />Funding Source LR&S Streets and Alleys <br />Account No. 442001 <br />Amount $26,932.70 <br />Terms of Contract Unit Price <br />Purpose/Description This change order is for the relocation of three (3) water meter vaults, water <br />valves and the addition of a 2” water service (CO #2 - $20,976.50) and for the <br />addition of ten (10) arborvitae around the newly created retention pond (CO <br />#3 - $5,956.20)._Both of these change orders will not be federally funded. <br />They will be 100% locally funded. ___________________________ <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 26,932.70 <br />($ ) <br />Previous Amount $ 3,135,729.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />.86% <br />( %) <br />New Amount $ 3,162,661.70 <br />Total Percent of Change: <br />Increase <br />Decrease <br />.86% <br />( %) <br />Time Extension Amount: <br />New Completion Date: