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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/29/2023 <br />Name Scott K <br />Department Public <br />Works <br />BPW Date 10/10/2023 Phone Extension 9245 <br />I Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ Mickev Lovy <br />Check the Appropriate Item Type — Required fir AN 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 />uired Information <br />Company or Vendor Name <br />Acorn Landscaping, LLC <br />❑ Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached <br />Project Name <br />2023 Brick Spot Repair <br />Project Number <br />123-057 (PR-25460) <br />Funding Source <br />Economic Development <br />Account No. <br />408-06-602-503-436008 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />2023 Brick Spot Repair <br />❑ Yes <br />❑ No <br />Change Order # I — Additional work to remove and replace discovered clay <br />drain pipe at LaSalle & Scott. <br />For Change Orders Only <br />Amount of El <br />Increase $ 10,948 <br />Decrease i$ —1------------------ <br />Previous Amount <br />$ 169,850 <br />Increase 6.09% <br />Current Percent of Change: <br />Decrease ( %} <br />New Amount <br />$ 190,799 <br />Increase 6.09% <br />Total Percent of Change: <br />Decrease [ %} <br />Time Extension Amount: <br />0 <br />New Comnletion Date: <br />