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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 08-18-2025 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 08-26-2025 Phone Extension: Ext. 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney ® Attorney Name Michael Schmidt <br />Purchasing ® Mickey Lovy / Ashley Rzepka <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. ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Company or Vendor Name <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 />Amount of <br />Previous Amount <br />Information <br />Larson -Danielson Construction Co., Inc. <br />❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />❑❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Wastewater Treatment Plant Administration Building 15 Office Remodel <br />124-037 <br />Sewage Works — Wastewater Operations, Other Contractual Services <br />Account 641-06-605-514-439001: PROJ 00000559 <br />$115,830.00 <br />Lump Sum (Line Items and Owner Directed Allowances) <br />Completion by 12-31-2025 <br />The Division of Engineering and Division of Wastewater reviewed the quotes <br />received on 08/12/2025 and recommend the award of the subject project to <br />Larson -Danielson as the lone, responsive, responsible bidder. Refer to Inter - <br />Office Memorandum for detail. auote review and MBE/WBE items. <br />❑ Increase <br />❑ Decrease <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />For Change Orders <br />Increase % <br />Decrease ( % <br />Increase % <br />Decrease ( %) <br />