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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 8/14/23 <br />Name: Gemma Stanton Department of Public Works – Engineering Division <br />BPW Date: 8/22/2023 Phone Extension: 9083 <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 /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Premium Concrete <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 Curb & Sidewalk <br />Project Number 123-001 <br />Funding Source Motor Vehicle Highway / Major Moves <br />Account No. 202-06-602-505-431000 / 412-06-600-506-431000 <br />Amount Division A - $64,949; Division B - $335,583; Division C – $246,378; <br />Division D - $157,478; Division E - $169,030 <br />Terms of Contract <br />Purpose/Description Award bid for 2023 Curb and Sidewalk work related to Council Allocation <br />program. Award all 5 divisions to lowest bidder Premium Concrete. Note: <br />separate financial requisitions for each division to create separate Purchase <br />Orders for each. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br />Time Extension Amount: <br />New Completion Date: