Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/12/2024 <br />Name Zach Hurst <br />Department DPW <br />BPW Date 01/23/2024 <br />Phone Extension 3057 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />and Inclusion Officer <br />Officer Name <br />BPW Attorney ❑ <br />Attorney Name <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑ <br />Check the Appropriate <br />Item Type <br />— Re uired or All Submissions <br />❑ Professional Services Agreement <br />❑ Open Market Contract <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Proposal Opening <br />® Chg. Order, No. IIFI <br />❑ Other: <br />❑ Contract ❑ Proposal <br />❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Award ❑ Reject Bids/Quotes <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control ❑ Resolution <br />❑ Ease./Encroach <br />Reauired Information <br />Company or Vendor Name <br />Majority Builders <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />❑❑ MBYes <br />MBE/WBE Contractor <br />E Completed E-Verify Form Attached ❑ <br />No <br />Project Name <br />The Hill TIF Project — Site Work <br />Project Number <br />123-030 <br />Funding Source <br />River West DA TIF <br />Account No. <br />PR-00024021 <br />Amount <br />Change: $23,214; Revised Amount: $500,000 <br />Terms of Contract <br />Purpose/Description <br />This change order addresses landscaping modifications, and adjustments to <br />parkin _ lot of lighting, dumpster enclosure, and fencing. <br />For Chance Orders Onl <br />Amount of ® Increase $ 23,214 <br />❑ Decrease ($ ) <br />Previous Amount $ 476,876 <br />Increase <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ 500,000 <br />Increase <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />4.87% <br />4.87% <br />