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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/16/19 Department Public Works <br />Name K....._.......... ..�..__ � ...... ..�._......._._.. __ .. �.�.� <br />yle Silveus Division/Bureau Engineering <br />BPW Date 4/23/19 Phone Extension 9083 <br />�YIUL@1�YA;MAMAFf�IiH�i��IN �W�V�WNWId.WNN/Gff�'JWW/ /IfrIDHPIWM➢�fWMWWIVWGIV NMRdIflVN llll� KWIC',fl.W,W,�If�IIPII�Ifi�fl����WWWWWW <br />_......... _ .__.... <br />Rewired Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller El 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 Michael Schmidt <br />Check the App qpriiatIte q.m Type — Required for All Submissions <br />❑ Agreement Amendment ❑ Contract Pro osal Addendum <br />Professional Services Resolution <br />❑ Bid Opening Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening E] Quote Award <br />® Change Order No. 1 EJ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. D Traffic Control <br />F1 Other: <br />Required Information <br />Company or Vendor Name Division B C&S Masonry Restoration, LLC <br />New Vendor <br />0 If Yes, Approved Purchasing..._... ........ <br />MBE/WBE Contractor <br />� <br />MBE/WBE Contractor <br />q ❑ No ❑Yes Name of Comn���� <br />Requested y <br />Project Name <br />1 <br />Lafa ette Buildi on m <br />yette.... ng onry Repairs <br />Project Number <br />117-100R, Division B <br />Funding Source <br />RWD_ A <br />Account No. <br />324-1050-460-42. 02 <br />Amount <br />_ <br />$47,340 <br />Terms of Contract <br />Division B: $236,705.00 <br />Purpose/Description <br />Additional masonry repairs needed after oft cleaning . .............he brick and <br />mortar <br />_ <br />Required Contractor's Certification m Fors Attached mmmmm ched (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />.. _ <br />.�..... __... <br />.. <br />--w .. <br />Viequ�rd For Change <br />vban a Orders On.l.y <br />�. e IT. �___m_._._..... <br />Amount of <br />Increase $ 47,340 <br />Decrease $ <br />PreviousAmount <br />$..236„705......................,................................�....................... m._...............�...............�.......... �� <br />Current Percent of Change: 19.99 /o <br />NewAmount <br />$ 284„045................�.............................�......�.__..�.�.....................................................�__���.............................�................. <br />... <br />....... m�........... �... .. <br />Total Percent of Change: 19.99% <br />Dispersal After Approval <br />Copy Original <br />® ❑ <br />Kyle Silveus <br />® <br />Dave Re.l�os...............................................__w_ <br />