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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />9/20/18 <br />Department <br />Public Works <br />Name <br />Kyle Silveus <br />Division/Bureau <br />Engineering <br />BPW Date <br />9/25/2018 <br />Phone Extension <br />9083 <br />U <br />Agreement <br />L] Contract U Proposal L] Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ Change Order No. <br />❑ <br />CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control: <br />I-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />MBEANBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Rieth-Riley Construction Co. <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />❑ MBE ❑ WBE <br />❑ No ❑ Yes Name of Company <br />J.C. Lauber Site Improvements <br />118-083 B <br />RIVER EAST DEVELOPMENT TIF <br />429-1050-460-42.03 <br />$373,528.00 <br />Base plus alternate 1 and alternate 3. <br />Parking lot installation, underground stormwater retention, and <br />_misc. sidewalk improvements <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of H Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ Kyle Silveus <br />❑ ❑ <br />❑ ❑ <br />