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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />December 12„ 2018 <br />Jacob M. Klosinski <br />Department Utilities - Wastewater <br />BPW Date December 20, 2018 Phone Extension .1574 -9496 ,. <br />Reauired Prio.r..to..Submit............_.....................tal.._.t........ o Boa..a_.ad <br />rd <br />Legal <br />Attorney Name Clara McDaniels Assistant City Attorney <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z <br />and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing Z <br />All Green Director of Utilities <br />Check the Appropriate <br />Item Type — Required for All ITSubmissions <br />❑ Agreement <br />Contract Proposal ❑ Addendum <br />❑ Professional Services <br />F1 Amendment <br />El Bid Opening <br />Z Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Chg Order No. <br />❑ <br />C/O & PCA No, ❑ PCA <br />D <br />Ease./Encroach. <br />Traffic Control ❑ Resolution <br />F� <br />Other.. <br />Claim <br />_ ...._.W... <br />. mm mmmmmmmmmm <br />Rewired Information <br />Company or VendorNameZiolkowski <br />Construction, Inc. <br />Yes If es, Approved by Purchasing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ❑Nos <br />Project Name <br />WWTP Administration Building Masonry Imp rovements�m <br />Project Number <br />mmmmmmmmmmmmmm........ <br />118-087 <br />_ <br />2018 and 2019 Sewage Works Operations, mmmBmuildmingmmRepairs &............. <br />Funding Source <br />g <br />Maintenance (See Memorandum) <br />.Ma..�.._........................�6...�66 ��A..�,,�,........... ��_ <br />Account No. <br />641-0630-793-36-01 <br />Amount <br />W <br />W$463,380.00 _��.�.......��........_ <br />Terms of Contract <br />Lump Sum, Unit Prices (Base A & B, all alternates exceptµ.A2 <br />Purpose/Description <br />The Division of Utilities recommends the Board of Public Works <br />award the subject project to Ziolkowski Construction as the <br />lowest responsive, responsible bidder See Inter -office <br />Memorandum for project descri Lion <br />.....................���........_ ........ �����..__ ..___.._� <br />For Change Orders Only <br />Amount of <br />�j <br />Increase $ mm <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />....o <br />New Amount <br />$ <br />Total Percent of Change: <br />............................ .----.....W <br />Time Extension: <br />...___. ..............%°... ............. <br />After Dispersal �� �����.....�_.�.........ww....�w��w <br />p Approval <br />Copy Original <br />® ❑ Al Greek, Director of Utilities <br />Jacob_M. Klosinski, Assistan ® ❑ t City Engineer ��...���.....�. <br />® ❑ Susan <br />Zee.b.'.....D..r.. w ........._....w mm .....__......._ <br />Director of Wastewater Financial Services <br />