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A <br />G <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 3, 2012 Department C &ED <br />BPW Date May 15, 2012 Phone 235 -5842 <br />Name Bill Schalliol <br />o Legal ® Attorney Name Larry Meteiver <br />Controller review is required for all Contracts $5,000.00 or more <br />o Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />a Y <br />Purchasing ❑ <br />C;hQC1c #fie .Arriat. #terms 7v>..#'ar d <raxAt- u�fi5�r`t��s . . <br />I Abuated.lr for. m.afio. n <br />Company or Vendor Name <br />A g reement <br />El Contract I El Proposal <br />Addendum <br />Yes <br />Claim <br />If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />Bid Opening <br />MBE <br />Bid Award <br />WBE <br />Req. to Advertise <br />Olive Road Right-of-Way Acquisition - Supplement #3 <br />Title Sheet <br />❑ <br />Quote O enin <br />AEDA TIF <br />Quote Award <br />El <br />Chg Order No. <br />$ <br />C/O & PCA No. <br />PCA <br />Addendum to Master Agreement for Olive Road Right -of -Way <br />Ease. /Encroach. <br />L1 <br />Traffic Control <br />Amount of <br />Resolution <br />Increase $ <br />Decrease 1 $ <br />Other: <br />$ <br />Current Percent of Change: <br />I Abuated.lr for. m.afio. n <br />Company or Vendor Name <br />Original <br />New Vendor <br />Yes <br />0 No <br />If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />MBE <br />WBE <br />Project Name <br />Olive Road Right-of-Way Acquisition - Supplement #3 <br />Project Number <br />112 -031 <br />Funding Source <br />AEDA TIF <br />Account No. <br />324 - 1050 - 460 -31.02 <br />Amount <br />$ <br />Terms of Contract <br />Purpose /Description <br />Addendum to Master Agreement for Olive Road Right -of -Way <br />Acquisition. Supplement #3 relates to DLZ Contract services for <br />30% design and ROW parcel plats for Olive -Pine connector. <br />s y. <br />Amount of <br />❑ <br />❑ <br />Increase $ <br />Decrease 1 $ <br />Previous Amount <br />$ <br />Current Percent of Change: <br />% <br />New Amount <br />$ <br />Total Percent of Change: <br />% <br />PO No. <br />Copy <br />Original <br />® <br />❑ <br />%pexsat A e Ap i f <br />Cheryl Phipps, C &ED <br />Bill Schalliol, C &ED <br />