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Change Order No 1 & PCA - 2020 Curb & Sidewalk, Divisions B1, B2, B3, C1, and D1 Proj No. 120-001 - Premium Concrete Services, Inc.
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Change Order No 1 & PCA - 2020 Curb & Sidewalk, Divisions B1, B2, B3, C1, and D1 Proj No. 120-001 - Premium Concrete Services, Inc.
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10/27/2020 2:34:01 PM
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10/27/2020 2:33:58 PM
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Board of Public Works
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Projects
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10/27/2020
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/02/2020 <br />Name Toy Villa Department Engineering <br />BPW Date 10/13/2020 Phone Extension 5920 <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 <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.1(Final) PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Premium Concrete Services, Inc. <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 2020 Curb & Sidewalk <br />Project Number 120-001 <br />Funding Source MVH <br />Account No. V00000181 <br />Amount $ <br />Terms of Contract <br />Purpose/Description _Project Closeout <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ 5,803.55) <br />Previous Amount $ 202,213.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(2.87%) <br /> New Amount $ 196,409.45 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(2.87%) <br />Time Extension Amount: <br />New Completion Date:
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