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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br /> <br /> Date: 5/23/2023 <br />Name: Daniel Sexton Department of Public Works – Engineering Division <br />BPW Date: 5/23/2023 Phone Extension: 5903 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br /> <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 />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name K&R Tree Service, LLC <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 2023 Tree and Stump Removal <br />Project Number 123-002 <br />Funding Source PR-00024705 - Motor Vehicle Highway <br />Account No. 202-06-602-505-431000 <br />Amount $ 30,508.02 <br />Terms of Contract <br />Special Contract Provisions n/a <br />Purpose/Description Contractor quote for 2023 Tree and Stump Removal to facilitate internal <br />Curb and Sidewalk work. <br />For Change Orders Only <br />Amount of <br /> <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br /> <br />Current Percent of Change: <br /> Increase % <br />Decrease ( %) <br /> <br />New Amount $ <br /> <br />Total Percent of Change: <br />Increase % <br />Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: