Change Order No 1 - 2022 CCMG Road Rehabilitation Proj No 122-024R - Milestone Contractors North Inc (1)

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/21/2023 Name Kvle Ludlow Department Public Works BPW Date 11/28/2023 Phone Extension 9157 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ® C/O & PCA No. 1 ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution n Other: n Ease. /Encroach Required Information Company or Vendor Name Milestone Contractors North, Inc. New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description U Yes U If Yes, Approved by Purchasing ® No MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos 2022 CCMG Road Rehabilitation 122-024R GCMG, River West TIF, South Side Development TIF,Tax Incremental Development Fund. Council Appropriation PROJ- 00016955 PO-0018944 $4,566,395.74 Closeout For Change Orders Only Amount of ❑ Increase $ ® Decrease ($ 403,604.26) Previous Amount $ Current Percent of Change New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase Decrease 12% $ 4,566,395.74 Increase % Decrease (8.12%)