Change Order No 1 - Demolition of 4022 Old Cleveland Road Proj No 125-038 - Ritschard Bros

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/19/2025 Name Zach Hurst Department DPW BPW Date 08/26/2025 Phone Extension 3057 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Required for All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ® Chg. Order, No. 1 ❑ Traffic Control ❑ Resolution n Other: n Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information Ritschard Brothers ❑ Yes ❑ If Yes, Approved by Purchasing ® No ® WBE Completed E-Verify Form Attached Yes ❑ No Demolition of 4022 Old Cleveland Road 125-038 River West DA TIF PO-0038810 This change: $1,500; Revised Amount: $30,751 Change Order No. 1 converts septic decommissioning to full septic removal. For Chance Orders Onl Amount of ® Increase $ 1,500 ❑ Decrease ($ ) Previous Amount $ 29,251 Increase Current Percent of Change: Decrease New Amount $ 30,751 Increase Total Percent of Change: Decrease Time Extension Amount: New Completion Date: