Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/7/2023 <br />Name Charlotte Brach Department PW <br />BPW Date 2/14/2023 Phone Extension 5903 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <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. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name HRP Construction Inc <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 2022 Rubber Speed Table and Speed Cushion Installation <br />Project Number 122-014A <br />Funding Source <br />Account No. PO 19194 <br />Amount Additional 23,520 to the contract and an additional 99 days <br />Terms of Contract <br />Purpose/Description Change order to add additional three (3) rubber speed tables on Lathrop <br />between Bendix Dr and Portage Ave. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 23,520 <br />($ ) <br />Previous Amount $ 117,600 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ 141,120 <br />Total Percent of Change: <br />Increase <br />Decrease <br />20% <br />( %) <br /> Time Extension Amount: 99 days <br />New Completion Date: 3/9/2023