Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 08/21/2025 <br />Name: Patrick Sherman Department of Public Works — Engineering Division <br />BPW Date: 08/26/2025 Phone Extension: 5601 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Dept. Attorney ® Attorney Name <br />Purchasing ❑ <br />Michael Schmidt <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 />❑ Other: ❑ Ease./Encroach <br />Company or Vendor Name <br />JJR <br />Information <br />New Vendor L] Yes ❑ If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached <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 />Seitz Park South Riverwalk Phase 2 <br />125-041 <br />PO-0039160 <br />436-10-102-121-444000--PROJ00000646 <br />$15,000.00 <br />EJCDC Amendment 10 <br />❑ Yes <br />❑ No <br />Additional Geotechnical Engineering due to the complex work along the <br />riverwalk. . <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />