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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />06/19/2018 <br />Kyle Silveus Department Engineering <br />❑ <br />Agreement <br />❑ Contract U Proposal L Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />�1 <br />Other: <br />Company or Vendor Name <br />Rieth-F <br />Co.. Inc. — Divisic <br />New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE [WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Berlin Place — Site Concrete, Landscape Plantings, and Roof <br />Project Name Pavers <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of ❑ <br />118-057 <br />$280,000 - RW TIF Bond, with the balance from agreement with <br />TWG Development, LLC <br />17JO07 <br />$ 325,000 <br />Base Bid — Division B <br />Site concrete (Division B) for the Berlin Place development. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <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 />Original <br />❑ <br />❑ <br />