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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/23/2018 <br />Department VPA: Facilities & <br />Name Patrick Sherman Grounds <br />BPS/ Date 08/28/2018 _-Phone Extension 5601 <br />Legal Z Attorney Name Clara McDaniels <br />Controller ❑ 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 Michael Schmidt <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />Change Order No. 01 <br />Ease/Encroach. <br />F-1 Other: <br />F-1 Resolution <br />[] Bid Award <br />E] Quote Award <br />El C/O & PCA No. <br />F-1 Traffic Control <br />0 Req. to, Advertise E] Title Sheet <br />um <br />Company or Vendor Name <br />Acorn Landscaping LLC <br />New Vendor <br />El Yes MI No R If Yes, Approved by Purchasing <br />MBENVBE Contractor <br />[:] MBE R WBE <br />MBEANBE Contractor Requested <br />M No[:] Yes Name ofCompany _ <br />Project Name <br />City Cemetery Path Resurfacing <br />Project Number <br />1067-2018 <br />Fund,ing Source <br />COIT <br />Account No. <br />408-1001-460.42-01 <br />Amount <br />$49,830.00 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Resurfacing of ove[gro n paths in City Cemetery. <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment, E-Verify, Iran, etc.) <br />Required,',Fp,,r,Ck ,,an,g,,p,,Orden Only <br />Amount of Increase $ 3,0K00 <br />F-1 Decrease <br />$ <br />Previous Amount <br />$ 46,830�.00 <br />Current Percent of Change.- <br />6.4% <br />New Amount <br />$49,830.00 <br />Total Percent of Change: <br />6.4% <br />Dispersal After Approval <br />Copy Original <br />F1 F-1 <br />R F-1 <br />El 11 <br />