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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/13/2025 <br />Name Leslie Biek, PE Department PW <br />BPW Date 11/25/2025 Phone Extension 9323 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney <br />❑ 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. I ❑ 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 />Purpose/Description <br />Information <br />Milestone Contractors, L.P. <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />❑❑ ❑ <br />MBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Mishawaka Streetscape <br />PN 121-072; PROJ 308 <br />PO 36730 <br />$114,797.38 <br />Change order #1 for increase of existing railroad tie removals, utility <br />modifications, and unforeseen unsuitable soil removal <br />For Chance Orders Onl <br />Amount of ® Increase $ 114,797.38 <br />❑ Decrease ($ ) <br />Previous Amount $ 3,244,556.73 <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 />$ 3,359,354.11 <br />Increase <br />Decrease <br />30 Days <br />10/30/2025 <br />3.54% <br />3.54% <br />