HomeMy WebLinkAboutRecommendation for Acceptance - Coal Line Trail Proj No. 115-063 – Lawson-Fisher Assoc.July 25, 2023
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 7/20/23
Name: Gemma Stanton Department of Public Works – Engineering Division
BPW Date: 7/25/23 Phone Extension: 9083
Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt
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: Recommendation for
Acceptance
Ease./Encroach
Required Information
Company or Vendor Name Lawson-Fisher Associates
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Coal Line Trail Phase 1
Project Number 115-063 DES# 1401810
Funding Source
Account No. PR/PO #
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description Signing of Report of Contract Final Inspection and Recommendation for
Acceptance for Coal Line Trail Phase 1
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: