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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/23/2021 <br />Name Sue Ellen Doudrick Department DPW <br />BPW Date 7/13/2021 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 <br />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 V:1875 <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 Seitz Park Reconstruction – Phase I <br />Project Number 117-093A <br />Funding Source REDA TIF, Park Bond (Deduct from Line 6 of PO) <br />Account No. PR-00004857; PO 6342 <br />Amount ($22,957.57) Funds to be taken from Line 6 of PO. <br />Terms of Contract Line items <br />Purpose/Description Change Order #1: Geofill Material Change in Divisions A&B. Line Items <br />A18 & B15 Geofoam to change to A62 and B65 Geofill Cellular Concrete. <br />This change in material will result in a decrease and provide a better product <br />to backfill and prevent voids beneath the new Riverwalk. Funds to be taken <br />from Line 6 of PO. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ 22,975.57) <br />Previous Amount $ 7,138,405.35 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(0.3218%) <br /> New Amount $ 7,115,429.78 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(0.3218%) <br /> Time Extension Amount: 0