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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/08/2024 <br />Name Patrick Sherman <br />Department Public Works <br />BPW Date 08/13/2024 <br />Phone Extension 5601 <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 />Michael Schmidt <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑ <br />Mickey Lovy <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. <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 />Larson Danielson Construction Company, Inc. <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />Yes <br />MBE <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached ❑ <br />❑ No <br />Project Name <br />Four Winds Field Renovation & Expansion <br />Project Number <br />123-046 <br />Funding Source <br />PR-00034856 <br />Account No. <br />PSCDA Fund <br />Amount <br />$4,069,545.00 <br />Terms of Contract <br />AIA — G735 Contract <br />Purpose/Description <br />This is for the work packages in Phase 2 of the Four Winds Field project. Thi: <br />package includes elements like the new splashpad and kid zone, as well as <br />new restroom and splashpad support building, and the decking system for the <br />second sto . <br />For Change Orders Only <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease ( %) <br />New Amount <br />$ <br />Increase % <br />Total Percent of Change: <br />Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />