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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/11/2025 <br />Name Becca Plantz Department Public Works <br />BPW Date 12/16/2025 Phone Extension 5998 <br /> <br />Review and Approval Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name ______________ BPW Attorney Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name <br /> <br />Purchasing Mickey Lovey <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. 1 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Selge Construction, Co., Inc. <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name 2024 Lead Service Line and Main Replacements West Zone <br />Project Number 123-069A <br />Funding Source State Revolving Fund <br />Account No. <br />Amount <br />Terms of Contract Unit Prices <br />Purpose/Description Replacement of cast iron water main and lead services from the water main <br />to the water meter of houses within a western zone. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ 85,071.09) <br />Previous Amount $ 1,721,949.75 <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />(4.9%) <br /> New Amount $ 1,636,878.66 <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />(4.9%) <br /> Time Extension Amount: <br />New Completion Date: <br />