Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: June 11, 2021 <br />Name: Jacob M. Klosinski, P.E.Department of Public Works – Engineering Division <br />BPW Date: June 22, 2021 Phone Extension: 9496 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Clara McDaniels <br /> <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. 1 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Ziolkowski Construction, 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 WWTP Administration Building Masonry Improvements <br />Project Number 118-087 <br />Funding Source 641-06-605-514-436001 <br />Account No. PR/PO #0000086 <br />Amount *Change Order, See Below* <br />Terms of Contract Lump Sum <br />Purpose/Description The Division of Engineering requests the approval of deductive Change Order <br />No. 1 and the Project Completion Affidavit for the subject project. Now that <br />all documentation is in hand, we can closeout the project. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ 1,889.00) <br />Previous Amount $ 463,380.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(-0.41%) <br /> <br />New Amount $ 461,491.00 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(-0.41%) <br /> <br />Time Extension Amount: 235 days (Due to Material Backorder, COVID-19) <br />New Completion Date: 04/30/2020 <br />