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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/03/2018 Department Public Works <br />Name Kyle Silveus Division/Bureau Enginee <br />ring <br />_. BPW Date ..12/11/2018_„_................................................ Phone Extension 9083 <br />Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller ❑ 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 ❑ Michael Schmidt <br />Check the <br />L! Agreement <br />❑ Professional Services <br />F-1 Bid Opening <br />El Quote Opening <br />Change Order No. 2 <br />Ease/Encroach. <br />Other: <br />Tope Item T owe — <br />El Contract <br />D Resolution <br />D Bid Award <br />F'' Quote Award <br />El C/O & PCA No. <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />for All Submissions <br />I Proposal <br />❑ Req. to Advertise <br />uired Information <br />❑ PCA <br />R. Yoder Construction, Inc. <br />�] Yes o,-No F� If Yes, Approvi <br />MBE ❑ �WBE� <br />No Yes Name of Compa <br />Hibberd Plaza Improvements <br />117-063R <br />DA TIF <br />324-1050-460-4201 <br />....................... <br />d by Purchasin <br />Addendum <br />❑ Title Sheet <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Chant Orders Only <br />Amount of Se $ 28 123.73 <br />1:1 Decrease $ <br />Previous Amount $ 451,874.54 <br />Current Percent of Change: 6.22% <br />New Amount $ 479,998.27 <br />Total Percent of Charm 7.85% <br />_..... . _ ....... ...... _w <br />Dispersal After Aeroval <br />Copy <br />Original <br />