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Date <br />Name <br />9/4118 <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 />U Agreement <br />LJ Contract L] Proposal U Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ <br />CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ <br />Traffic Control: <br />1� Other. - <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE 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 />Walsh & Kelly, Inc. <br />❑ Yes ® No ❑ If Yes, <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of <br />St. Joseph Streetscape <br />118-008 <br />Purchasi <br />SOUTH SIDE DEVELOPMENT TIF <br />430-1050-460-42.03 <br />$423, 000 <br />Base Bid <br />St. Joe Street roadway improvements from Ireland Rd. to <br />Callander St. <br />❑ 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 />Silveus <br />p�0 <br />Dispersal After Aperoval <br />