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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/28/18 Department Public Works <br />. . . .......................... <br />Name Kyle Silveus Division/Bureau Engineering <br />. ................. . <br />. ................. <br />BPW Date 12/11/2018 Phone Extension 9083 <br />.... . . ........ ............ . . ...... . ............. .. . <br />Required Prior to Submittal to Board <br />Legal El Attorney Name: Clara McDaniels <br />Controller El Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing F-1 Michael Schmidt <br />Check theApprq j?riate Item Type - Rqq or All Submissions <br />. . . . ........... .... <br />. . . ....... ....... <br />yired f <br />Agreement E] Contract F] Proposal E] Addendum <br />F-1 Professional Services Resolution <br />F� Bid Opening ❑ Bid Award E] Req. to Advertise El Title Sheet <br />E] Quote Opening F] Quote Award <br />Z Change Order No. 1 El C/O & PCA No, ❑ PCA <br />0 Ease/Encroach. F-1 Traffic Control: <br />F] Other: <br />. . . ................ Re pired Information <br />Company or Vendor Name Rieth-Riley Construction Co. <br />New Vendor MBWElIf Yes, Approved by Purchasi .........MBEA/VBE Contractor -BE <br />MBE/WBE Contractor Requested F1 No El Yes Name of Company <br />Project Name J.C. Lauber Site. Improvements <br />............. <br />Project Number 118-083 B <br />Funding Source RIVER EAST DEVELOPMENT TIF <br />Account No. 429-1050-460-42.03 <br />Amount N/A <br />Terms of Contract <br />Purpose/Description Parking lot change from HMA to Concrete, change from M/R to <br />concrete pavement <br />.......... <br />Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Re uired For Change Ordersqqly..... <br />Amount of Z Increase $24,417 <br />[] Decrease $ <br />Previous Amount $373,528 <br />Current Percent of Change: 6.54% <br />New Amount $397,945 <br />Total Percent of C"p99,:. 6.54% <br />Dispersal After <br />Copy <br />Original <br />z <br />r_1 JKyle Silve,u,s <br />1:1 <br />F] <br />E] <br />n <br />