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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 08-02-2021 <br />Name: Jacob M. Klosinski, P.E. Department of Public Works – Engineering Division <br />BPW Date: 08-10-2021 Phone Extension: Ext. 9496 <br /> <br />Required Prior to Submittal to Board 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. PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name McCormick Engineering, LLC <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 35th Street Wetlands <br />Project Number 121-022 / PROJ00000236 <br />Funding Source 101-06-600-500-431000 (Professional Services) <br />Account No. PR-00010975 / PO # TBD <br />Amount $18,920.00 <br />Terms of Contract Lump Sum <br />Purpose/Description Div. of Engineering requests the approval of the subject design/study contract <br />with McCormick Engineering, LLC for engineering design services and <br />preliminary design of improvements to the 35th Street Wetlands area. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />