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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 11 /27/2023 <br />Name: Leslie Biek Department PW — Engineering Division <br />BPW Date: 12/12/2023 Phone Extension: 9323 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michale Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />I Check the ADDroDriate Item Tvne — Reauired for All Submissions I <br />U Professional Services Agreement U Contract U 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 />n Other: n Ease./Encroach <br />uired Information <br />Company or Vendor Name Jones Petrie Rafinski <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 />U Yes❑ If Yes, Approved by Purchasing <br />® No <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />2023 Guardrail and Handrail Installation and Replacement <br />122-043; PROJ 361 <br />101- Prof Sery <br />PR 29279 <br />$9,818.00 <br />NTE <br />Purpose/Description Amendment for the rebid and additional design services for the 2023 <br />Guardrail and Handrail Installation and Replacement project. Targeting bid <br />by end of year for construction in spring/summer 2024. <br />For Change Orders Only <br />Amount of <br />❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />