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Date <br />Name <br />9/7/2018 <br />Kyle Silveus <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 9/11/2018 Phone Extension 9083 <br />H Agreement <br />IJ Contract H Proposal H Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />® <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ <br />Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />n Other: <br />Company or Vendor Name <br />New Vendor <br />MBEANBE Contractor <br />MBEMBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Walsh & Kell , Inc. <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />Lincoln Way East Corridor Improvements <br />117-055A <br />Park Bond E, RW TIF Bond <br />471-1134-452.42-01, 452-1101-452.31-06 <br />$459,000.00 <br />Base Bid <br />u Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ <br />® <br />❑ <br />® <br />❑ <br />Kyle Silveus <br />Aaron Perri <br />Tim Corcoran <br />Dispersal After Approval <br />