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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 30, 2018 Department Public Works <br />Name Roger Nawrot / KaraBoylesDivision/Bureau Engineering <br />BPW Date December 11, 2018 Phone Extension 5932 <br />.............................................. <br />Required Prior to Submittal to Board <br />�.. Legal Attorney Name: Clara McDaniels m TTmmmmmmITIT ITITITmm <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 <br />Checkthe <br />Agreement <br />Professional Services <br />E:1' Bid Opening <br />❑ Quote Opening <br />® Change Order No. 2 <br />Ease/Encroach. <br />F� Other: <br />dropr�e emITltem T __ 6e�red for All Submissions <br />Contract Proposal <br />Resolution <br />R Bid Award F] Req. to Advertise <br />El Quote Award <br />E] C/O & PCA No. ❑ PCA <br />❑ Traffic Control: <br />Reguired Information <br />Addendum <br />❑ Title Sheet <br />Company or Vendor Name _Yes ❑ Noson son Construction F-1 If Yes Approved by <br />El New Vendor Purchasing <br />MBE/WBE Contractor F-1 MBE ❑ WBE <br />MBE/WBE Contractor Requested � No [D Yes Name of Co11 mp11 9py <br />Howard Park Redevelopment & St. Louis Boulevard <br />Project Name Improvements <br />Project Number 117-047B <br />Funding Source Par__ ................................ .........._ <br />k Bond, wRETIF, Regional Cities & Cumulative Capital <br />452-1101-452.02&452.03, 429-1050-460.42-02, 201 <br />Account No. 452.42-01, 407-1101-452.4201 <br />......................................................._............................................................� <br />Amount $ <br />Terms of Contract <br />Purpose/Description Cost reduction and modification of accountinq divisionsof��o�� <br />od' ' ......... work, <br />" Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />l w _w <br />Reouired For Change Orders On„ __ r e_...... <br />Amount of ❑ Increase $ <br />Decrease $ 229„464.00 <br />Previous Amount $...._��... ,_..��, .... ....�� ............�. .. <br />17,976,032.00 <br />Current Percent of Change: 1.22% <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />$ 17,746„568.00 <br />_.....................%...� ......................��............_._...... <br />oersal After A <br />