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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 3/3/2026 <br />Name: Becca Plantz Department of Public Works – Engineering Division <br />BPW Date: 3/10/2026 Phone Extension: 5998 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Michael Schmidt <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. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Premium Concrete Services <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 Parkview Place Main Break Concrete Repair <br />Project Number <br />Funding Source Water Works Operations 620 <br />Account No. PR-00046434 <br />Amount $10,896.00 <br />Terms of Contract Lump Sum <br />Special Contract Provisions <br />Purpose/Description Concrete sidewalk and approach repairs to restore damage from a water main <br />break on Parkview Place. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br />Time Extension Amount: <br />New Completion Date: