Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/19/21 <br />Name Kyle Silveus Department Engineering <br />BPW Date 8/10/2021 Phone Extension 9083 <br /> <br />Required Prior to Submittal to Board Legal Attorney Name Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type – Required for All Submissions <br /> Agreement Contract Proposal Addendum <br /> Professional Services Resolution <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award <br /> Change Order No. 6 C/O & PCA No. PCA <br /> Ease/Encroach. Traffic Control <br /> Other: <br />Required Information <br />Company or Vendor Name Ancon Construction Company, Inc. <br />New Vendor Yes No If Yes, Approved by Purchasing <br />MBE/WBE Contractor MBE WBE <br />MBE/WBE Contractor Requested No Yes Name of Company <br />Project Name Historic Leeper Park Improvements – Bid Package 1 <br />Project Number 118-010A <br />Funding Source RW TIF Bond <br />Account No. 452-1101-452-31.02 <br />Amount $ 762.70 <br />Terms of Contract <br />Purpose/Description Deduct for the final quantity adjustment and PCA <br /> Required Contractor’s Certification Form Attached (Non- <br />Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />$ 762.70 <br />Previous Amount $ 1,412,692.86 <br />Current Percent of Change: -0.05% <br />New Amount $1,411,930.16 <br />Total Percent of Change: 7.94% <br />Dispersal After Approval <br />Copy Original <br /> Kyle Silveus <br /> Patrick Sherman <br /> <br />