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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11 /28/18 Department Public Works <br />Name Kyle Silveus Division/Bureau Engineering <br />. <br />BPW Date 1� .. <br />2/11/2018 Phone Extension 9083 <br />NAME HWWMWN1111Mn�= <br />.... Reuired ITPrior to Submittal to Board m_.- ..._......._ .......... .... <br />Legal 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 Michael Schmidt <br />Check the <br />L_J Agreement <br />❑ Professional Services <br />F-1 Bid Opening <br />❑ Quote Opening <br />® Change Order No. 2 <br />Ease/Encroach. <br />F-1 Other: <br />ro riate Item Tv�� <br />Contract <br />Resolution <br />n Bid Award <br />❑ Quote Award <br />❑ 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 />for All Submissions <br />➢ Proposal <br />❑ Req. to Advertise <br />Required Information <br />❑ PCA <br />Rieth Riley Construction Co., Inc. <br />F1 Yes N No F If Yes„ Armroved by Purchasin <br />Addendum <br />❑ Title Sheet <br />Purpose/Description Additional onsite storm_ water retention - two new drywells <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />- _........... <br />�..�_ .................�....._�_ ... _ Re uired For Change Orders Only <br />Amount of In ease e $ 9,540 ....._. m mw��_a �__ m...... ........ <br />Previous Amount $ 997,945 <br />Current Percent of Change, 2.40%...... e ��..��........................................................��.... ww ....... . <br />New Amount $ 407,485 <br />Total Percent of Change: 9.09% <br />Diaer.._ _ ....�� ,mm..�... � ���...... ........� <br />sal After Aroval <br />Copy Original <br />® F1 Kyle Silveus <br />El <br />