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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 09/18/2018 <br />❑ Agreement <br />❑ Contract L] Proposal ❑ 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 />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />F l Other: <br />Company or Vendor Name Dudeck Roofing and Sheet Metal <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE n WBE <br />MBEMIBE Contractor Requested ❑ No ❑ Yes <br />Project Name Gemini Washin <br />Project Number 118-080A <br />Funding Source West Washington <br />Account No. 422-1050-460-42.0'e <br />Amount $ 128,820.00 <br />Terms of Contract Base bid <br />Purpose/Description Repair of Apartment Building Roof 1 along Washington St. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Amount of � <br />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 />❑ Kyle Silveus <br />❑ <br />❑ <br />❑ <br />❑ <br />4/d <br />Name of Company <br />on -Colfax Apartment Improvements <br />TIF <br />p�0 <br />Dispersal After Approval <br />