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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 6/28/19 <br />Name Kyrle Silveus Department En ing eerin <br />BPW Date 7/9/19 Phone Extension 9083 <br />vww�nm�: ,�,v. �...,_wr„�wrvwwwwwwN!�„�,�—�.k,�,wm�nwm�wwwwmm��nirmiruurrswwsrcrimrm�wmmvwmramwoanm... s iu!�rwrawnrmrr�a,�� <br />Legal ❑ Attorney Name Clara McDaniels <br />Controller Q Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ Michael Schmidt <br />Check the <br />LJ Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑! Quote Opening <br />[] Change Order No. <br />El Ease/Encroach. <br />EJ Other: <br />Eri wltem.Type <br />Contract <br />El Resolution <br />® Bid Award <br />❑I Quote Award <br />C/O &PCANo. <br />_ <br />❑I Traffic Control <br />for All Submissions <br />Proposal ❑]' Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />Required Information <br />Company or Vendor Name Rieth-Riley Construction Co. Inc, <br />❑ PCA <br />New Vendor <br />El Yes ❑l No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />[-] MBE [:] WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Gemini Site Improvements <br />Project Number <br />119-043 <br />FundingSource <br />West Washin ton TIF............................................................................................................................................ _.. <br />Account No. <br />422-1050-460-42.02 <br />Amount <br />............................................................................................................................................... �Ae......_ <br />$ 614,451.28 <br />Terms of Contract <br />Base bid, Contingent en-99-R,DC apprgyal on 7/11/19 <br />Purpose/Description <br />Parkin and Draina a Improvements to Gemini Apartment Com lex <br />south of Colfax <br />[:] Required Contractor's Certification Form Attached (Non- <br />__. �..._.....�...-.__.._..._. _ .e_.__ <br />_. Collusion„ Non.Discrimination, Non -Debarment, E-Verii"�Iran, etc. ..m <br />Required For Charge Orders Only <br />Amount of El Increase $ <br />El Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />F] <br />❑ <br />❑ <br />❑ <br />