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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/11/2021 <br />Name Alicia Pellegrino Department Engineering <br />BPW Date 01/26/2021 Phone Extension 5903 <br /> <br />Review and Approval Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br /> <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. PCA <br /> Chg. Order, No. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Walsh & Kelly, Inc. <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE <br /> MBE <br /> WBE <br /> MBE <br /> WBE <br />Project Name VPA Athletic Court Renovations, Phase 1 <br />Project Number 118-098 <br />Funding Source Park Bond K, VPA <br />Account No. <br />471-11-206-288-444000--PROJ00000176 / 201-11-201-201-423000-- <br />PROJ00000176 <br />Amount <br />Terms of Contract NTE <br />Purpose/Description _CO #1: Scope Modification at Randolf Park and final quantity adjustments <br /> <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$3,916.50 <br /> <br />Previous Amount $ 116,063.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />3.37% <br /> <br /> <br />New Amount $ 119,979.50 <br />Total Percent of Change: <br />Increase <br />Decrease <br />3.37% <br /> <br /> <br />Time Extension Amount: <br />New Completion Date: <br />