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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 02/22/2024 <br />Name: Patrick Sherman Department of Public Works – Engineering Division <br />BPW Date: 02/27/2024 Phone Extension: 5601 <br /> <br />Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <br /> <br />Purchasing Mickey Lovy <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. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name HWC Engineering Inc. <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 Walker Field Connectivity <br />Project Number 123-058 <br />Funding Source PO# 26221 <br />Account No. 456-10-101-121-444000--PROJ00000455 <br />Amount $212.500.00 <br />Terms of Contract EJCDC Contract <br />Special Contract Provisions N/A <br />Purpose/Description Design Services for traffic calming and connectivity to Rum Village at <br />Walker Field Park. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br /> <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />