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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: <br />Name <br />March 11.2024 <br />Gemma Stanton <br />Department of Public Works — Engineering Division <br />BPW Date: March 26, 2024 Phone Extension: 9083 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />0 <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 ❑X C/O & PCA No. ® PCA <br />® Chg. Order, No. 1 ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Company or Vendor Name <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 />Purpose/Description <br />uired Information <br />Premium Concrete <br />❑ Yes If Yes, Approved by Purchasing <br />® No <br />F] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />2022 Curb and Sidewalk Round 2 <br />122-044 <br />2022 Curb/SW Program: ARP Neighborhood Infrastructure <br />101-04-040-040-439001-ARP004-PROJ00000334 <br />$573,021.68 <br />Unit price <br />Change Order #I and PCA for project closeout <br />Amount of ® Increase $5,016.68 (total across all divisions <br />❑ Decrease ($ ) <br />Previous Amount $ 568,005 <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase 0.88 % <br />Decrease ( %) <br />$ 573,021.68 <br />Increase % <br />Decrease ( %) <br />