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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/26/2024 <br />Name Scott Kreeger <br />Department Public <br />Works <br />BPW Date 12/10/2024 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name <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. 2 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Milestone Contractors North, 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 Cleveland Rd and Ameritech Dr Intersection Improvements <br />Project Number 122-049 <br />Funding Source Local Roads/Bridge <br />Account No. 265-06-600-506-436008 <br />Amount $31,488.59 <br />Terms of Contract <br />Purpose/Description Change Order #2 – Additional should restoration at Dylan & Brick <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 31,488.59 <br />($ ) <br />Previous Amount $ 1,431,781.90 <br />Current Percent of Change: <br />Increase <br />Decrease <br />2.2% <br />( %) <br /> New Amount $ 1,463,270.49 <br />Total Percent of Change: <br />Increase <br />Decrease <br />14.23% <br />( %) <br />Time Extension Amount: <br />New Completion Date: