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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/20/2023 <br />Department Public <br />Name Scott <br />BPW Date 4/11/2023 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ® Mickey Lovy <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. 2 ❑ PCA <br />❑ Chg. Order, No. 2 ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Rieth-F <br />❑ Yes <br />n No <br />Information <br />Construction Co., Inc. <br />If Yes, Approved by Purchasing <br />❑ El WBE Completed E-Verify Form Attached ❑❑ Nos <br />2022 Contractor Paving Round 2 <br />122-032 (DFO PROJ00000330) <br />Major Moves, TIF River West, TIF West Washington, TIF Southside <br />Development <br />412-423002, 324-10-102-121-442001, 422-10-102-121-442001, 430- <br />442001 <br />-$106,579.17 <br />_Adjustment to final quantities. Reduced quantities included in final pay <br />application. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ 106,579.17) <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />$0 <br />Increase <br />Decrease <br />(4.94%) <br />$ 2,051,402.83 <br />Increase % <br />Decrease (1.88% <br />New Completion Date: <br />