Change Order No 2 - Fire Station No 9 Project No 116-012 - Ziolkowski Construction Inc

Home Browse Search

BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 11 /16/2018 Department Public Works Name Toy Villa Division/Bureau Engineering BPW Date 11/27/2018 Phone Extension 5920 NEW gFNR .._........... ..............._..._........ _..................... Required Prior to Submittal to Board _._...._.........._...� _ _________ __ ._........ Legal ❑ Attorney Name: 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 F. Check the A Agreement Amendment ❑ Professional Services Bid Opening Quote Opening Change Order No. 2 (� Ease/Encroach. Other: Company or Vendor Name iro riatemmItem Type Reg ❑ Contract [1 Resolution Bid Award El Quote Award C/O & PCA No.. ❑ Traffic Control: New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description for All Submissions �Proposalmmm F] Req. to Advertise ired Information ❑ PCA Ziolkowski Construction, Inc. Addendum ❑ Title Sheet ❑ Yes ® No ❑ If Yes, Approved by urcas!si � �_...............................�� 6�6 ,,,,,,,�............................_....... MBE WBE No ❑Yes Nameof an ...._._................__...�w�. Com Fire Station #9 116-012 2018 Fire Station #9 Capital ___.................�� _._........ .............. .mm 451.0901.422.42.02 Approval of C.O. #2 ❑ Required Contractor's Certification Forms Attached (Non - Collusion„ Non -Discrimination, Non -Debarment„ E-Verify„ Iran, etc. �.� Required ForChane Orders ONy_ of ® Increase .. $mm16,306.00 Amount ❑ Decrease $ Previous Amount $ 3,643,334.00 Current Percent of Change: 0 45% �...................._......... _ __._W......... ... ��m_—.�._�__..._..._.................. New Amount $ 3,659,640.00 Total Percent of Change O.m20°/aww� mmm DisDersal After Aooroval Copy Original ® �]' Steve Cox ® ❑ Todd Skwarcan