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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/14/2019 <br />Department <br />Name Tol Villa Engineering <br />BPW Date 05/28/2019 Phone Extension 5920 <br />UMN <br />....-..-_.._................. <br />Required Prior to Submittal to Board <br />......_ ---_.u_ .0.__. M --- <br />BPW Attorney Attorney Name <br />Dept. Attorney R Attorney Name <br />Purchasing <br />Check the <br />Item Type — Required,16r, All Submissions <br />Professional Services Agreement E] Contract <br />Open Market Contract <br />Amendment/Addendum <br />Bid Opening <br />Bid Award <br />Quote Opening <br />Quote Award <br />Proposal Opening <br />® C/O & PCA No. Final <br />❑ <br />Chg. Order, No. <br />❑ Traffic Control <br />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 />Information <br />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Q Resolution <br />Ease./Encroach <br />Ritschard Bros., Inc. <br />......................................... <br />E] Yes If Yes, Approved by Purchasing <br />Z No <br />❑ MBE Completed E-Verify Form Attached <br />WBE <br />2018 Demolitions <br />__________________ <br />118-307 <br />COIT <br />........................ _u <br />404.1201.415.39.87 <br />❑ Title Sheet <br />................._ _ _...... ......._ _------ <br />For Change Orders Only ... - ww ... <br />Amount of Increase $ <br />Z Decrease . $ 55,341.00) ........... __.... <br />Previous Amount $ 319,758.00 <br />Current Percent of Change <br />New Amount <br />Increase % <br />.1_................... <br />Decrease ( 7.31% <br />$ 264,417.00 <br />❑ Yes <br />❑ No <br />Increase % <br />Total Percent of Change: Decrease 17.31%) <br />Time Extension Amount: <br />New CompletionITDate _....................._. ....___.... _.._........ ...... ... <br />