Change Order No 1 and 2 - Erskine Clubhouse Renovation Project No 116-108 - Ziolkowski Construction

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11/6/2018 Name KyleSilveys Department Enaineerin . . . . . . . ........................... .. ............................................. .. . . . .. -w 1111-- -- - BPW Date 11/13/2018 Phone Extension 9083 Requ....ired Prior to Submittal to Board . . . . . ............... . - ---- .... . .......... .... . ..... -- - ------------ — Legal E] Attorney Name Clara McDaniels Controller Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing E] Michael Schmidt Check the H Agreement Professional Services Bid Opening E] Quote Opening Change Order No. 2 Ease/Encroach. Other: iropriate Item Type - �] Contract .......... Resolution Bid Award Quote Award C/O & PCA No. ❑ Traffic Control for All Submissions Proposal [:] Req. to Advertise uired Information E] PCA Company or Vendor Name Ziolkowski Construction, Inc. New Vendor 0 Yes Z No E] If Yes, Approved by Purchasing MBE/WBE Contractor F-1 MBE [:] WBE MBE/WBE Contractor Requested [:] No E] Yes Name of Company Project Name Erskine Clubhouse Renovation ................ Project Number 116-108 Funding Source Golf Operations ......................... .... . .... Account No. 201-1101-452.42-02 Amount $7,899 Terms of Contract Purpose/Description Addendum El Title Sheet F-1 Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination„ Non -Debarment, E-Verify, Iran, etc.IT ) Required For Change Orders Only Amount of Increase $ 7,899 Decrease Previous Amount 907,000 - - ------------------ .. ..... Current Percent of Change: 0.87% New Amount $914,899 Total Percent of Change: 0.87% Dispersal After Approval Copy Original F-1 Kyle Silveus .... .................. . . .. . .. ......... F-1 Patrick Sherman El . .... ............. ....... 1-1