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PCA - Fire Stations 3 & 6 Renovations Proj No. 118-047 - Gibson-Lewis, LLC
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PCA - Fire Stations 3 & 6 Renovations Proj No. 118-047 - Gibson-Lewis, LLC
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4/15/2021 11:09:18 AM
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4/15/2021 11:09:05 AM
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Board of Public Works
Document Type
Projects
Document Date
4/13/2021
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/25/2021 <br />Name Toy Villa Department Public Works <br />BPW Date 4/13/2021 Phone Extension 5920 <br /> <br />Required Prior to Submittal to Board 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. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Gibson-Lewis, LLC <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 Fire Stations 3 & 6 Renovations <br />Project Number 118-047 <br />Funding Source Fire Capital Improvements / Building Improvements <br />Account No. 287-0902-422.42-02 <br />Amount $1,003,635.00 <br />Terms of Contract <br />Purpose/Description Project Closeout. <br />_______________________________________________________ <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />
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