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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 2/17/2025 <br />Name: Charlotte Brach Department of Public Works — Engineering Division <br />BPW Date: 2/25/2025 Phone Extension: 9246 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Dept. Attorney ❑ Attorney Name <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. ❑ PCA <br />® Chg. Order, No. 1 ❑ Traffic Control ❑ Resolution <br />I-1 Other: I -I Ease./Encroach <br />Information <br />Company or Vendor Name Milestone Contractors North, Inc. <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 />Special Contract Provisions <br />Purpose/Description <br />U Yes U If Yes, Approved by Purchasing <br />❑ No <br />F] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />122-059R Angela Blvd Improvements <br />PROJ00000444 <br />River East Residential TIF <br />PO # 0027696 (Division 1), PO # 0027675 (Division 2) <br />$129,623.45 <br />Divisions 1 and 2 <br />N/A <br />Change order number 1 for the Angela Blvd Improvements project. <br />For Change Orders Only <br />Amount of ® Increase $ 129,623.45 <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />$ 3,241,000.00 <br />Increase 4.00% <br />Decrease ( %) <br />$ 3,370,623.45 <br />Increase 4.00% <br />Decrease ( %) <br />