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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/13/2019..................�....... aw.......m...� <br />Department Public <br />Name Toy Villa Works <br />BPW Date 6/25/2019 Phone Extension 5920 <br />wpxnwu wwm rmmu m^mman�mimmmmommwmwu¢�.mmm rnnnn a�amar,�Nm mumuummmmuuuuuuuuuuuuuuuuuuuuuuurvurvrirvrirvumnmmmmw, r ��umimuum�umuMiuiuiuiuuwuuw�iwmmmuwimwwuww,vvu mw.uwiu�wi imp, rva <br />�.._._ a....._........................... <br />......_............................. �. w Required 1 to Board od Prior to Submitt........w _........... _ .. <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing [❑ <br />Check the A p opriate Item " yp ; - Requiredfin- All Submissions <br />❑ Professional Services Agreement ❑ Contract <br />[:] Open Market Contract <br />[❑ Amendment/Addendum <br />❑ Bid Opening <br />]I Bid Award <br />EJ Quote Opening <br />Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />❑ Chg. Order, No. <br />❑ Traffic Control <br />F Other: <br />u:i;rd Information <br />_] Proposal <br />] Special Purchase, QPA <br />E] Req. to Advertise <br />F] Reject Bids/Quotes <br />® PCA <br />❑ Resolution <br />Company or Vendor Name Rieth Riley Construction Co., Inc <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 />Ease./Encroach <br />❑ Title Sheet <br />L_J YesLJ If Yes, Approved by Purchasing <br />® No <br />❑Yes <br />MBE Completed E-Verify Form Attached No <br />WBE <br />Berlin Place Site Concrete I.andsce, Plantings and Bldg. 4 Roof Pavers <br />.... <br />118-057 <br />River West TIF <br />324.1050.460.42.01 <br />..................�...........w�.. <br />$325,000.00 <br />Proiect Closeout <br />_m.. <br />For Chang Orders Only <br />__.. <br />Amount of E Increase <br />$. ,. w.....��. <br />.................... �] Decrease _...._�m...... �$� ................� �................................�...�....�,,,..........,,m.........�................�____-_-_-- �...� <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease (m %)m <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( /o mm.......... <br />0 <br />Time Extension Amount: <br />New Completion Date <br />