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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/13/2018 Department Public Works <br />Name Toy Villa Division/Bureau Engineering <br />BPW Date 04/24/2018 Phone Extension 5920 <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: Michael Schmidt <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 ❑ George King <br />0 Agreement <br />R Contract ❑I Proposal LJ Addendum <br />E] Professional Services <br />R Resolution <br />F-1 Bid Opening <br />F] Bid Award Req. to Advertise 0 Title Sheet <br />n Quote Opening <br />R Quote Award <br />F-1 Change Order No. <br />Z C/O & PCA No. 1 Final l F-1 IPCA <br />❑ Ease/Encroach. <br />El Traffic Control: <br />Il Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />MBEA(VBE Contractor Requested <br />Project Name <br />Project Number <br />G. E. Marshall, Inc. <br />Demolition of Howard Park Rec Center <br />117-058 <br />Funding Source REDA TIF <br />Accouint No. 429.1050.460.39.82 <br />Amount $148,335.00 <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />F1 <br />n <br />El <br />E] <br />El <br />n <br />Project Closeout <br />F-1 Required Contractor's Certification Forms Attached (Non- <br />Collusbri, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Charge Orders Only <br />Increase $ <br />Decrease $6,200.00 <br />$ 154,535.00 <br />4.011% <br />$ 148,335-00 <br />4.01% <br />