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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 7/21/2021 Phone Extension 5922 <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. __ PCA <br /> Chg. Order, No. 2 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 ****Use Account: 201-11-206-273-444000**** <br />Account No. PR-00004857; PO 6342 <br />Amount $31,820 <br />Terms of Contract Line items <br />Purpose/Description Change Order #2: Replace existing failing CMP storm sewer located <br />beneath Riverwalk in Division B. Cost includes sewer televising to <br />determine the repair required and replacement. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 31,820 <br />($) <br />Previous Amount $ 7,115,429.78 <br />Current Percent of Change: <br />Increase <br />Decrease <br />0.4472% <br />(%) <br /> New Amount $ 7,147,249.78 <br />Total Percent of Change: <br />Increase <br />Decrease <br />0.1254% <br />(%) <br /> Time Extension Amount: 0 <br />New Completion Date: - <br />8/10/21