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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 29, 2021 <br />Name Leslie Biek, PE Department PW <br />BPW Date August 10, 2021 Phone Extension 9323 <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 Daniel Parker, Ron O’Connor, Sarah Hull <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. 16 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Larson Danielson <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 Howard Park Redevelopment <br />Project Number 117-047B; PROJ 165 <br />Funding Source 101-443001 and 452-444000 <br />Account No. PO 6607 <br />Amount $51,000 <br />Terms of Contract <br />Purpose/Description See attached memo. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 51,000.00 <br />($ ) <br />Previous Amount $ 18,916,837.73 <br />Current Percent of Change: <br />Increase <br />Decrease <br />.52% <br />( %) <br /> New Amount $ 18,967,837.73 <br />Total Percent of Change: <br />Increase <br />Decrease <br />.79% <br />( %)51 <br /> Time Extension Amount: 377 days <br />New Completion Date: 8/16/2021