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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 31, 2018 Department <br />Name Scott Kreeger Division/Bureau <br />Public Works <br />Engineering <br />U Agreement Amendment <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />❑ Other: <br />L J Contract LJ Proposal L] Addendum <br />❑ Resolution <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />® Quote Award <br />❑ CIO & PCA No. ❑ PCA <br />❑ Traffic Control: <br />Required <br />Information <br />Company or Vendor Name <br />Selge Construction Co., Inc. <br />New Vendor <br />Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEMIBE Contractor <br />_❑ <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Bowman Creek Improvements <br />Project Number <br />118-017 <br />Funding Source <br />Sewer Contractual <br />Account No. <br />641-0621-792.63-35 <br />Amount <br />$97,475.00 <br />Terms of Contract <br />Purpose/Description <br />Debris/Sediment removal in Bowman Creek culvert, installation <br />of three trash grates, and access gate. <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy <br />Kara Boyles, City Engineer, PE <br />Sue Ellen Doudrick, Assistant City Engineer, PE <br />Scott Kreeger, Project Engineer <br />Original <br />® <br />❑ <br />® <br />❑ <br />® <br />❑ <br />