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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/02/2024 <br />Name Zach Hurst Department DPW <br />BPW Date 01/09/2024 Phone Extension 3057 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <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. 1 Traffic Control Resolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name R Yoder Construction <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 Fire Station 8 Replacement <br />Project Number 122-034 <br />Funding Source South Side DA TIF <br />Account No.PO-0026318 <br />Amount Change: $76,757.37; Revised Amount: $3,780,607.37 <br />Terms of Contract <br />Purpose/Description Change Order addresses winter conditions, drive thickness error, and stone <br />subbase error. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 76,757.37 <br />($ ) <br />Previous Amount $ 3,703,850.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />2.1% <br />(%) <br />New Amount $ 3,780,607.37 <br />Total Percent of Change: <br />Increase <br />Decrease <br />2.1% <br />(%) <br />Time Extension Amount: <br />New Completion Date: