Laserfiche WebLink
Date: <br />Name: <br />BPW Date: <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />7/14/2025 <br />Gemma Stanton Department of Public Works — Engineering Division <br />07/22/2025 <br />Phone Extension: 9083 <br />Required Prior to Submittal to Board <br />BPW Attorney 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. 3 ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Information <br />Company or Vendor Name Selge Construction <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />❑ Yes❑ If Yes, Approved by Purchasing <br />® No <br />MBE <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />2024 Curb and Sidewalk Program <br />124-009 <br />Motor Vehicle Highway <br />Division 5 PO — 0032682; <br />Amount $9,773.60 <br />Terms of Contract Unit price <br />Special Contract Provisions N/A <br />Purpose/Description Final balancing change order <br />For Change Orders Only <br />Amount of ® Increase $ 9773.60 <br />❑ Decrease ($ ) <br />Previous Amount $ 927,184.77 (Division 5) <br />Increase 1.17% <br />Current Percent of Change <br />New Amount <br />Decrease <br />$ 936,958.37 <br />Increase 11.84% <br />Total Percent of Change: Decrease <br />Time Extension Amount: 0 <br />New Completion Date: 5/2/2025 <br />