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G <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 6, 2011 <br />BPW Date December 22, 2011 <br />Name Bill Schalliol <br />Department <br />Phone <br />C &ED <br />235 -5842 <br />Legal ® Attorney Name L. Meteiver <br />.3 Controller review is required for all Contracts $5,000.00 or more <br />B Controller ® and greater than one year in length per the City Purchasing <br />Policy <br />Other Appropriate Reviewers ❑ <br />equire n orm'a #ton <br />Company or Vendor Name <br />kY,�,C Cl'1Ci"w+^:.'. <br />^, s13 :11 �ta`�; =:EFc:a ynar•�,;'irv-Cn� fir,- �.«r r �vr4rv,_�;-.. <br />Lj Contract Proposal <br />Addendum Y <br />Project Name <br />Agreement <br />Project Number <br />Claim <br />Fundin Source <br />SSDA TIF <br />Bid Openin <br />430 -1050- 460 -31.06 <br />Bid Award <br />Re . to Advertise <br />❑Title Sheet <br />Quote Opening <br />Desian service proposal for Fellows Street Corridor Improvement <br />Quote Award <br />t> <,rt `✓ ..+ cY ky ¢wynb <br />Chg Order No. <br />5 nkY r Y rrm+ ,I{ 3as; 1�'ytfr ,SA:d 3'S� J <br />e,4lG r`,�S�k:`�„PIF� �o-#'�.,%inyry'.4a <br />C/O & PCA No. <br />❑ <br />❑ <br />PCA <br />$ <br />Ease. /Encroach. <br />Lj <br />Traffic Control <br />Current Percent of Change: <br />Resolution <br />New Amount <br />Other: <br />Total Percent of Change: <br />% <br />equire n orm'a #ton <br />Company or Vendor Name <br />Christopher B. Burke Engineering <br />New Vendor <br />Yes No If Yes, Approved b Purchasing <br />Project Name <br />Fellows Street Corridor Imp rovement Project - Supplement #1 <br />Project Number <br />Not et assi ned li . - bt- , <br />Fundin Source <br />SSDA TIF <br />Account No. <br />430 -1050- 460 -31.06 <br />Amount <br />$ 185,000.00 <br />Terms of Contract <br />Purpose /Description <br />Desian service proposal for Fellows Street Corridor Improvement <br />Proiect, Phase -2 <br />t> <,rt `✓ ..+ cY ky ¢wynb <br />JJ1.. <br />5 nkY r Y rrm+ ,I{ 3as; 1�'ytfr ,SA:d 3'S� J <br />e,4lG r`,�S�k:`�„PIF� �o-#'�.,%inyry'.4a <br />Amount of <br />❑ <br />❑ <br />Increase <br />Decrease <br />$ <br />$ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />yesn`.i;: <br />y� <br />st��,t,:'s <br />Copy Original <br />❑ ® Jason Durr, CBBE <br />® ❑ Bill Schalliol, CED <br />