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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 7, 2021 <br />Name Scott Kreeger <br />Department Public <br />Works <br />BPW Date December 21, 2021 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <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 Lawson-Fisher Associates <br />New Vendor Yes No If Yes, Approved by Purchasing <br />MBE/WBE Contractor MBE <br />WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name Bendix Drive Lathrop to ITR <br />Project Number DFO Proj00000008 <br />Funding Source Local Road & Street <br />Account No. 251-06-600-506-442001 <br />Amount New: $511,026 Increase: $16,526 Original: $494,500 <br />Terms of Contract LS <br />Purpose/Description _Contract amendment No. 1 for the Construction inspection of Bendix Drive <br />for additional work due to construction delays. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <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: