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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 12/14/2022 <br />Name: Becca Plantz Department of Public Works – Engineering Division <br />BPW Date: 12/20/2022 Phone Extension: 5998 <br />Required Prior to Submittal to Board <br />BPW Attorney X Michael Schmidt <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 Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. PCA <br />Chg. Order, No. 3 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Larson-Danielson <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 Morris Performing Arts Center – Main Level Slab Replacement <br />Project Number 121-029A <br />Funding Source Morris Capital <br />Account No. PROJ-281 <br />Amount Original = $876,374.83, New Amount CO3 = $975,535.70 <br />Terms of Contract <br />Special Contract Provisions <br />Purpose/Description <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 9,028.38 <br />($ ) <br />Previous Amount $ 966,507.32 <br />Current Percent of Change: <br />Increase 0.9% <br />( %) <br />New Amount <br />Decrease $ <br />$975,535.70 <br />Total Percent of Change: <br />Increase <br />Decrease <br />11.1% <br />( %) <br />Time Extension Amount: <br />New Completion Date: