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BOARD OF PUBLIC WORKS, <br />AGENDA ITEM RE, VIEW REQUEST FORM <br />Date 0�8/01/2018 Department Public Works <br />Name Toy Villa -a Division/Bureau Engineering <br />BPW Date 08/14/2018 Phone Extension 5920 <br />— ---- - ----- <br />Recluired Prior to Submittal to Board <br />Legal F-1 Attorney Name: <br />Controller El 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 1-1 <br />F] Agreement Amendment Ll Contract H Proposal U Addendum <br />[:] Professional Services El Resolution <br />El Bid Opening El Bid Award El Req. to Advertise El Title Sheet <br />F] Quote Opening ❑ Quote Award <br />F-] Change Order No. C/O & PCA No. 2 Final) El PCA <br />Ease/Encroach. [J Traffic Control: <br />❑ Other: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Ram Construction Services of Michigan, Inc. <br />0 Yes H No E] If Yes, Approyeq by Purchasin <br />F] MBE F-1 WBE <br />El No El Yes Name of Company <br />Leighton Deck Coatings —_Phase 11 <br />117-092 <br />River West TIF <br />324.11050.460.42.03 <br />Protect Closeout <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc, <br />Amount of LJ Increase $ <br />Z Decrease $ 6,021.63 <br />Previous Amount $ 201,078.00 <br />Current Percent of Change: 2.99% New Amount $ 195,056.37 <br />Total Percent of Change: 3.20% <br />Copy <br />Original <br />11 <br />El <br />F-1 <br />0 <br />El <br />El <br />