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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/12/2025 <br />Department Public <br />Name Dan Jones <br />BPW Date 11/25/2025 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ Mickey Low <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. 1 Final ❑ 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 />Rieth-F <br />❑ Yes <br />171 No <br />Information <br />Co. <br />If Yes, Approved by Purchasing <br />❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />2024 Community Crossings Round 2 <br />124-047 <br />PO 35019 <br />324-442001 <br />$5,876.85 <br />Final Change Order #1: Extra backfill needed on Bendix Dr, and additional <br />removals and aggregate at N. & S. Lee Cts. <br />For Change Orders Only <br />Amount of ® Increase $ 5,876.85 <br />❑ Decrease ($ ) <br />Previous Amount <br />$ 1,035,980.00 <br />Increase <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ 1,041,856.85 <br />Increase <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />0 <br />New Completion Date: <br />0.57% <br />( <br />0.57% <br />