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Date 02/04/2019 <br />Name Toy Villa <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 02/12/2019 Phone Extension 5920 <br />i m mmuummmi mww�w,uv oioiNwu vxw�mmmrd�n� m �, <br />..,.,,,........_,_.,,_.------ ------------- ...... .,.,.. <br />........ __......� Required Prior to Submittal to Board <br />Legal ❑ Attorney Name: <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 El <br />Check the <br />L Agreement <br />Professional Services <br />I❑ Bid Opening <br />Quote Opening <br />® Change Order No. 4 <br />❑ Ease/Encroach. <br />Other: <br />Company or Vendor Name <br />)roriatew Item Type <br />El Contract <br />( f Resolution <br />El Bid Award <br />❑ Quote Award <br />ElC/O &PCANo, <br />F1 Traffic Control <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />ed' for All Submissions <br />❑] Proposal <br />❑ Req. to Advertise <br />Required Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />cti n Com, <br />Larson Danielson Constru panyInc. - .. ___....................�.�.........._._�.........,. <br />Howard Park Redevelopment & St. Louis Boulevard <br />Project Name Improvements <br />Project Number 117-047B <br />RETIF, Re ional Cit' Cumulative Capital <br />Funding Source Park Bond, g�....�....!.es....&....0..............u.._._._._._.._....................�_ <br />452-1101-452.02&452.03, 429-1050-460.42-02, 201-1111- <br />Account No. 452.42-01, 407-1101-452.4201 <br />Amount $ <br />Terms of Contract <br />Purpose/Description Approval of C.O. #4 <br />❑ Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />m � or Chars Orders Ony <br />Amount of El Increase w $ _ _mm <br />N Decrease $ 38,787.14 <br />PreviousAmount $ 17,894,326.5.8......�...._....��.�................................................................�..........�_......�........................ <br />Current Percent of Change; 0.21 % <br />New Amount $ 17,855,539.44 <br />Total Percent of Charge <br />Disoersal After Aot)roval <br />Copy <br />Original <br />❑ <br />❑ <br />❑I <br />❑ <br />❑ <br />