Change Order No 1-PCA - 2018 Street Paving Project No 118-080 - Rieth Riley Construction Co Inc

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 01 /08/2019 Department Public Works ............_ ....... Villa Division/Bureau Engineering Name °y ��_��..._�.��.... ��..�......._. ...... ------ ---.- �..... BPW Date 01/22/2019 Phone Extension 5920 .._.......... __. _.. _ _... � _...� ' Board Re uired Prior to Submittal to m wwww__w_�ITIT_www_ LegalF-1 Attorney Name: Controller Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the ❑ Agreement Amendment E] Professional Services ❑] Bid Opening ] Quote Opening Change Order No. ❑ Ease/Encroach. Other: Company or Vendor Name r a e Item -- Rqqi Contract R Resolution ❑ Bid Award Quote Award C/O & PCA No.. raffic Control: New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of EJ Increase E] Decrease Previous Amount Current Percent of Change New Amount Total Percent of Chance: Copy Original ❑ ❑ El ❑ El ❑ 1:1 El for All Submissions Proposal ❑ Req. to Advertise uired Information Rieth �] RiNerConstruction, Inc, YeNo mmm P ❑]❑ WBE Corn �.._��..,�._No ❑Yes _...mwName._of...............� 118-070 2018 Street Paving Building & StreetMaintenance 202.0607.431.36.01 Proiect Closeout Addendum ❑ Title Sheet If Yes, Approved by ❑ Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Veri6 ,Iran, etc. )uired For Chanae Orders Onl Dispersal After Approval