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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 01-04-2022 <br />Name: Jacob M. Klosinski, P.E.Department of Public Works – Engineering Division <br />BPW Date: 01-04-2022 Phone Extension: 9496 <br /> <br />Required Prior to Submittal to Board <br />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. 001 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Selge Construction Company, Inc. (V-00001471) <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 Colfax Lift Station Rehabilitation <br />Project Number 118-034C (PROJ00000117) <br />Funding Source TIF –River East Development Area (NE Dev) <br />Account No. 429-10-102-121-444000; PO # 0003119 <br />Amount $449,064.50 – Final Cost <br />Terms of Contract Lump Sum and Unit Prices <br />Purpose/Description The Division of Engineering and Division of Utilities recommend approval of <br />Change Order No. 1 (deduct) and the Project Completion Affidavit for the <br />subject project along with release of retainage and final payment. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ 10,038.50) <br />Previous Amount $ 459,103.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(2.18%) <br /> <br />New Amount $ 449,064.50 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(2.18%) <br /> <br />Time Extension Amount: 0 days <br />New Completion Date: N/A - Completed on Time <br />