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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/09/2024 <br />Name Lidya Abreha <br />Department Public <br />Works <br />BPW Date 12/17/2024 Phone Extension 5961 <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. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name CE Hughes Milling, Inc, DBA The Air Marking Co. <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 2024 Thermoplastic Striping <br />Project Number PROJ00000402 (PR-34249) <br />Funding Source Local Road & Street <br />Account No. 251-423002 & 251-431000 <br />Amount Change: $4,314.00; Revised Amount: $16,704.00 <br />Terms of Contract <br />Purpose/Description Change order No. 1 adds cost for striping length adjustments from original <br />scope of work as well as errors & omissions <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 4,314.00 <br />($ ) <br />Previous Amount $ 12,390.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />34.82% <br />( %) <br />New Amount $ 16,704.00 <br />Total Percent of Change: <br />Increase <br />Decrease <br />34.82% <br />( %) <br />Time Extension Amount: <br />New Completion Date: