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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 03/24/2018 Department Public Works, <br />Name Toy Villa "I'V - Division/Bureau Engineering <br />BP' Date 04/10/2018 Phone Extension 5920 <br />Recluired Prior to Submittal to Board <br />Legal ❑ Attorney Name: <br />Controller El Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />F-1 Agreement <br />F-1 Contract n Proposal L_J Addendum <br />❑ Professional Services <br />F1 Resolution <br />❑ Bid Opening <br />F Bid Award ❑ Req. to Advertise Title Sheet <br />❑ Quote Opening <br />EJ Quote Award <br />Change Order No. 2 <br />E] C/O & PCA No. E] PCA <br />❑ Ease/Encroach. <br />F-1 Traffic Control: <br />El Other: <br />Required Information <br />Company or Vendor Name <br />Rieth-Riley Construction Co., Inc. <br />New Vendor <br />El Yes X No L1 If Yes, Approved by Purchasing <br />MBENVBE Contractor <br />=MBE [:] WBE <br />MBENVBE Contractor Requested EJ No L] Yes Name of Company <br />Project Name <br />Edison and Ironwood Road Corridor Rehabilitation <br />Project Number <br />116-070 <br />Funding Source <br />Local Road & Bridge Matching Grant <br />Account No. <br />265.0608.431.36.10 <br />Amount <br />$ <br />Terms of Contract <br />Purpose/Description <br />Extra signal work at the intersection of Ironwood and Jefferson <br />[:] Required Contractor's Certification Forms Attached (Non - <br />Collusion. Non -Discrimination, Non, -Debarment, E-Verifv, Iran, etc, <br />Amount of Increase $11,892-62 <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Chancre: <br />Copy <br />Original <br />F <br />F-1 <br />F <br />El <br />El <br />El <br />$ 1,410,,000.82 <br />d.-8 _4% <br />$ 1,421,893.44 <br />1.59% <br />