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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/29/2024 <br />Name Kyle Ludlow Department Public Works <br />BPW Date 03/12/2024 Phone Extension 9157 <br /> <br />Review and Approval Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br /> <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. 1 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease. /Encroach <br />Required Information <br />Company or Vendor Name Traffic Control Specialists, LLC <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 Multi-Component Striping <br />Project Number 122-065 <br />Funding Source PR-00021150 <br />Account No. PR-00000402 PO-0020953 <br />Amount $16,580.77 <br />Terms of Contract <br />Purpose/Description _Project Closeout and Final Change Order <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ 1,258.17) <br />Previous Amount $ 17,838.94 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(-7.05%) <br /> New Amount $ 16,580.77 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(-7.05%) <br /> Time Extension Amount: 0 days <br />New Completion Date: 5/17/2023 <br />