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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/15/2021 <br />Name Zach Hurst Department DPW <br />BPW Date 02/09/2021 Phone Extension 3057 <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 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Weigand Construction <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 Main & Jefferson Site Improvements <br />Project Number 119-022A <br />Funding Source River West TIF <br />Account No. PO-0002946 <br />Amount $12,952.05 <br />Terms of Contract <br />Purpose/Description Final change order and Project Completion Affidavit <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 12,952.05 <br />($ ) <br />Previous Amount $ 74,146.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />17.47% <br />( %) <br /> New Amount $ 87,098.05 <br />Total Percent of Change: <br />Increase <br />Decrease <br />17.47% <br />( %) <br /> Time Extension Amount: 27 days <br />New Completion Date: 10/1/2020