HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Morris Box Office Renovation Proj No. 121-029CBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 6/16/2022
Name Becca Plantz Department Public Works
BPW Date 6/28/2022 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name Michael Patton
BPW Attorney Attorney Name Clara McDaniels
Dept. Attorney Attorney Name
Purchasing
Check the Appropriate Item Type – Required for All Submissions
Professional Services Agreement Contract Proposal
Open Market Contract Amendment/Addendum Special Purchase, QPA
Bid Opening Bid Award Req. to Advertise Title Sheet
Quote Opening Quote Award Reject Bids/Quotes
Proposal Opening C/O & PCA No. PCA
Chg. Order, No. Traffic Control Resolution
Other: Ease./Encroach
Required Information
Company or Vendor Name
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Morris Box Office Renovation
Project Number 121-029C
Funding Source Morris Capital Fund 416
Account No. PR-17674, PROJ-345
Amount
Terms of Contract Lump Sum
Purpose/Description Renovations to the box office in the Morris Performing Arts Center.
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %)
Time Extension Amount:
New Completion Date:
June 28, 2022
6/16/22
6/24/2022
06/24/2022
Kyle Copelin, AIA
Registered Architect No. AR11000101
06-27-2022
Engineer's Name
Professional Engineer No. XXXXXXX
06-27-2022
Engineer's Name
Professional Engineer No. XXXXXXX
06-27-2022 PROF
ESSIONA L E N GINEERJEREM Y L . HUIS
M
A
NNo. PE11800019
STATE OFREGISTERED
IND I A N AExpires: 07-31-2022
Jeremy Huisman, PE
Professional Engineer No. PE11800019
Expires: 07-31-2022
L
John Waldron, PE
Professional Engineer No. PE120000661
June 28, 2022