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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/19/19 <br />Name Kyle Silveus Department En ig neerin <br />BPW Date 3/26/2018 Phone Extension 9083 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ Michael Schmidt <br />Check the <br />H Agreement <br />n' Professional Services <br />E] Bid Opening <br />❑ Quote Opening <br />® Change Order No. 10 <br />EJ Ease/Encroach. <br />Other <br />iroriate Item Type <br />❑ Contract <br />] Resolution <br />Bid Award <br />F1 Quote Award <br />[:1 C/O & PCA No. <br />El Traffic Control <br />for All Submissions <br />F Proposal Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />Required Information <br />❑ PCA <br />Company or Vendor Name Ziolkowski Construction Inc <br />New Vendor ❑ Yes Z No If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Erskine Clubhouse Renovation <br />Project Number 116-108 <br />Funding Source <br />Account No. <br />Amount $14,689.00 <br />Terms of Contract <br />Purpose/Description Removal of Linder round Gasoline and Oil Tanks discovered durin <br />excavation <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discriminations Non -Debarment„ E-Verify, Iran, etch_ <br />required For Change Orders dy <br />Amount of ® Increase .$ 14, 689.00 <br />❑ Decrease $ <br />Previous Amount $ 1,076,842.00 <br />Current Percent of Change: 1.36% <br />New Amount $..1,091,531.00...................._........................... <br />._r. ..._.......................,. ._-- w ��.�.............�._.. <br />Total Percent of Change: 20.35% <br />Dispersal After Approval <br />Copy Original <br />® ❑ Kyle Silveus <br />® ❑ Patrick Sherman <br />