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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 2, 2018 <br />Name Tara Weigand <br />Department <br />Division/Bureau <br />2011111199M <br />Engineering <br />BPW Date March 13, 2018 Phone Extension 5998 <br />Required Prior to Submittal to Board <br />Legal Attorney Name: Clara McDaniels <br />Controller Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing Z Michael Schmidt <br />F-1 Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />E] Ease/Encroach. <br />n Other: <br />❑ Resolution <br />Z Bid Award <br />El Quote Award <br />F-1 C/O & PCA No. <br />F-1 Traffic Control., <br />E] Req. to Advertise El Title Sheet <br />[::] P CA <br />Company or Vendor Name <br />Ziolkowski Construction, Inc. <br />FI Yes Z No If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBEANBE Contractor <br />[:] MBE [:] WBE <br />MBEANBE Contractor Requested <br />[:] No [:] Yes Name of Company <br />Project Name <br />Fire Station #9 - <br />Project Number, <br />116-012 <br />Funding Source <br />2018 Fire Station #9 Capital <br />Account No. <br />451-0901-422.42-02 <br />Amount <br />$ 3,652,500.00 <br />Terms of Contract <br />Purpose/Description <br />Construction of a new Fire Station #9 <br />F1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Onl!".. <br />Amount of F] increase <br />$ <br />El Decrease <br />$ <br />Previous Amount $ <br />Current Percent of Change: <br />% <br />New Amount $ <br />Total Percent of Change: <br />% <br />Dispqrsal After Approval <br />Copy Original <br />z E] Steve Cox <br />z Todd Skwarcan <br />