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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 3/30/2023 <br />Name: Charlie Brach Department of Public Works — Engineering Division <br />BPW Date: 4/11/2023 Phone Extension: 9246 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name 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. ❑ Traffic Control ❑ Resolution <br />I-1 Other: I -I Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Information <br />100 <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />F] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />122-014C 2023 Traffic Calming <br />PROJ00000316 <br />251-442001 <br />PR # 00023274, PR # 00023277, PR # 00023279, PR # 00023281, PR # <br />Account No. 00023282, PR # 00023293 <br />Amount N/A <br />Terms of Contract Divisions <br />Special Contract Provisions N/A <br />Purpose/Description Opening of bids for the 2023 Traffic Calming Project. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Increase <br />Decrease <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />