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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/19/2019 <br />Department Public <br />Name Zach Hurst Works <br />BPW Date 3/26/2019 Phone Extension 3057 <br />I'd�V�M�WINNfAI� �Y®ri1M1�1kAWAN®,'A'MF4fNPW�1Vl➢IWiiYAMIAWpIWIRiM.iMVMM9MVMVI�,VIIVINNNM'MI%M1�nttNYINMfiINWINNMNIPoNWflIflttlWUdl riW&UUHv'HtltlHdil9rRMYID1ri011mImIImIIIVIR <br />................w,.................... <br />..�,...�.�.�.�. .�,,.w..,w.,,..w...�,..... <br />�lec)u6red Prior to Submittalwto Board <br />BPW Attorney Attorney Name <br />Dept. Attorney ❑, Attorney Name <br />Purchasing ❑ <br />Check the A ppropriate Item Type - Required 16r All Submissions <br />Professional Services Agreement LJ Contract <br />Open Market Contract ❑ Amendment/Addendum <br />❑ Bid Opening ® Bid Award <br />(� Quote Opening ❑l Quote Award <br />❑ Proposal Opening [:] C/O & PCA No. <br />❑j Chg. Order, No. El Traffic Control <br />E] Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />uired Information <br />H Proposal <br />Special Purchase, QPA <br />�] Req. to Advertise <br />❑ Reject Bids/Quotes <br />[� PCA <br />Fj Resolution <br />Ease./Encroach <br />Skyline Plastering, Inc. <br />Yes E ] If Yes Approved b Purch mmsing <br />No <br />MBE Completed E-Verify Form Attached <br />WBE <br />320 at the Cascade - Exterior Insulation and Finish S <br />118-074B-R <br />River East TIF <br />429-1050-460-42.02 <br />$561,500.00 <br />❑ Title Sheet <br />] Yes <br />No <br />Bid award for EIFS which is Division B of the ro'ect. This includes the ba <br />bid plus Alternate 3, <br />For Change Ordersv Only <br />Amount of <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ � <br />.....�.�. ...w���� <br />Increase.A..� <br />__,�.,,,,�..� ........................�_....m <br />% <br />Current Percent of Change: <br />Decrease <br />( %) <br />New Amount <br />$ <br />. Increase....................................-���............ <br />............. � �A ._. ..........�.��..m..�w <br />__._.%) <br />Total Percent of Change: <br />Decrease <br />......................................................................................................��....................w <br />Time Extension Amount: <br />New Completion Date: <br />