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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 10, 2020 <br />Name Jacob M. Klosinski <br />Department <br />Engineering/Utilities <br />BPW Date November 24, 2020 Phone Extension Ext. 9496 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name Michael Patton <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Clara McDaniels <br />Purchasing Michael Schmidt <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. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Selge Construction Company, 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 St. Joseph Backwater Valves <br />Project Number 119-018 (DFO PROJ-00000084; PO-0000303) <br />Funding Source LRSA Capital <br />Account No. 251-06-600-506-442001 <br />Amount $ See Below <br />Terms of Contract <br />Purpose/Description The Division of Engineering recommends the Board of Public Works approve <br />Change Order No. 1 for the subject project. Refer to Memorandum for <br />additional details. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 10,613.00 <br />($ ) <br />Previous Amount $ 94,450.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />11.24% <br />(%) <br /> New Amount $ 105,063.00 <br />Total Percent of Change: <br />Increase <br />Decrease <br />11.24% <br />(%) <br /> Time Extension Amount: 0 Days <br />New Completion Date: No Change, 07/01/2020