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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date August 24, 2017 <br />Department Public Works <br />Name Roger Nawrot Division/Bureau Engineering <br />❑ Agreement Amendment <br />❑ Contract U Proposal U Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />® Quote Award <br />❑ Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ <br />Traffic Control: <br />n <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Current Percent of Change: <br />New Amount <br />4 <br />Walsh & Kelly <br />❑Yes❑No <br />Purchasing <br />Inc. <br />MILTIMM, <br />If Yes, Approved by <br />" No LJ Yes Name of Company <br />Bowen Street Drainage Improvements <br />116-0S2A <br />Southside Development Area TIFF <br />430-1050-460-31.02 <br />$49,750.00 <br />Not to Exceed <br />Furnishing and Installation of drywells on Bowen Street <br />Total Percent of Change: % <br />Dispersal After.Approval <br />Copy <br />Original <br />® <br />❑ <br />❑ <br />❑ <br />❑ <br />❑ <br />Roger Nawrot, PE, PL.S, Assistant City Engineer <br />