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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/31/2025 <br />Department Public <br />Name Gemma Stanton <br />BPW Date 4/8/2025 Phone Extension 9083 <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ Mickey Low <br />Check the Appropriate Item Tvpe — 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. ❑ Traffic Control ❑ Resolution <br />®Other: Water Main ❑ Ease./Encroach <br />Extension ALyreement <br />Required Information <br />Company or Vendor Name Riverwalk, LLC <br />New Vendor ❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor ❑ WBE ❑ <br />Completed E-Verify Form Attached ❑ Nos <br />Project Name Riverwalk Townhomes at the Pointe <br />Project Number DP21-022 <br />Funding Source n/a <br />Account No. n/a <br />Amount n/a <br />Terms of Contract <br />Purpose/Description Agreement for the extension of public water main and a private sewer main <br />for the Pointe development <br />For Change Orders Only <br />Amount of ❑ Increase $ <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 />Increase <br />Decrease <br />Increase <br />Decrease <br />