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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date _ April 15, 2011 Department Engineering <br />BPW Date April 251, 2011 Phone 235 -5933 <br />Name John Engstrom <br />Requir Legal Attorney Name ,,,gky� -- <br />e Controller n Controller review is required for all Contracts $5,000.00 or more <br />Prior and greater than one year in length per the City Purchasing <br />to Polic <br />u mi Other Appropriate Reviewers i G <br />ttal to I <br />Check the Appropriate Item T e — Required forA# Submissions <br />V-A reement L Contract Pro osal I Addendum <br />n Claim <br />n Bid Opening I Bid Award n R_eq._t_o_A__d_v_,e—rt­is--e-1 n Title Sheet <br />iJ Quote Opening n Quote Award <br />G Chg Order No. r C/O & PCA No. C, PCA <br />L. Ease. /Encroach. G Traffic Control U Resolution <br />IJ Other: <br />Required Information <br />Company or Vendor Name R.W. Armstrong <br />New Vendor L Yes 19 No G If Yes, Approved by Purchasin <br />Project Name Training Center Site Development Phase 1 <br />Project Number 109 -011 B <br />Funding Source EMS Capital Fund <br />Account No. E.M.S.C.I.P. #288000 - 341 -03 -00 <br />Amount $ 132,200 <br />Terms of Contract <br />Purpose /Description Engineering services to Dreoare plans and cnacifir•� +�,,.,� �.,. +w.. <br />Training Center Phase 1 Construction <br />For Chanoe Orders nniv <br />Amount of u Increase <br />$ <br />I_- Decrease <br />$ <br />Previous Amount <br />$ <br />Current Percent of <br />Chan e: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />niSnarc=1 Qfior Annrnvnl <br />Copy <br />Original <br />- <br />U <br />L <br />0 <br />G <br />