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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 10, 2018 <br />Name Roger Nawrot <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />❑ <br />Agreement <br />[J <br />Contract ❑ Proposal L] Addendum <br />❑ <br />Professional Services <br />❑ <br />Resolution <br />❑ <br />Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />R Other: <br />Company or Vendor Name <br />Rieth-Riley Construction Co., Inc. <br />❑ Yes Z No [J If Yes, Approved by <br />New Vendor <br />Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested <br />❑ No ❑ Yes Name of Company <br />Project Name <br />Colfax Avenue Two -Way Conversion <br />Project Number <br />115-053A <br />Funding Source <br />West Washington Development Area TIF <br />Account No. <br />422.1050.460.42.03 <br />Amount <br />$546,703.93 <br />Terms of Contract <br />Not to Exceed <br />Purpose/Description <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For<Char a Orders.Only <br />Amount of ❑ Increase <br />❑ Decrease <br />$ <br />$ <br />Previous Amount $ <br />Current Percent of Change: <br />% <br />New Amount $ <br />Total Percent of Change: <br />% <br />Dispersal After Approyal - <br />Copy Original <br />® ❑ Chris Dressel <br />❑ ❑ <br />❑ ❑ <br />