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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/2/2019 <br />Name Kyle Silveus Department En ineerin <br />BPW Date 07/9/2019 Phone Extension 9083 <br />I IIIIIIIIIIIIIImmIY VIVIVIVIWVIVWWWVIWVIVIVIV�IV�IV�WV�W�'YWWW4Y',tl'N Rp, �1fW9 IMIIIIIIIIIIIWIWM9111VIIIIVIIIWIIWWMIWIMWIW'I�' WNHY GXRrRrRH NJIWII MMmNMPPPMmmmmmmmMWIWIWOtlIWwwmiwmYI/A&ay# "" ^ <br />�ITITIT _ „ .._..�..� Required Prior to Submittal to Board <br />Legal ❑ Attorney Name Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing �] Michael Schmidt <br />Check the <br />❑ Agreement <br />El Professional Services <br />F-1 Bid Opening <br />(� Quote Opening <br />❑ Change Order No. _ <br />El Ease/Encroach. <br />0 Other: <br />)ropriate Item Type <br />Contract <br />❑ Resolution <br />® Bid Award <br />❑ Quote Award <br />[:] C/O &PCANo. <br />_ <br />Traffic Control <br />for All Submissions <br />........... __..........._ <br />I Proposal D Addendum <br />❑ Req. to Advertise ❑ Title Sheet <br />uired Information <br />❑ PCA <br />Company or Vendor Name Larson Danielson Construction Co., Inc. <br />New Vendor <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE <br />WBE <br />MBE/WBE Contractor Requested ❑ No Yes Name of Company <br />Project Name <br />Park Improvements <br />Pulaski_.........._._..............�.....____. m..,..............��_ <br />Project Number <br />118-056 <br />Funding Source <br />RW TI.�F....Bond ......................................... ��...�.._...................0 - �. <br />Account No. <br />452-1101-452.31-06 <br />Amount�$ <br />878,68.6�..�.������������� ..........................� .�.............................................���_....................... ,,,,..._��� .................. <br />Terms of Contract <br />._ ..... ........................... <br />Base Bid plus Alternate <br />Purpose/Description <br />Pulaski Park Improvements <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination„ Non -Debarment, E-Verifv„ Iran, etc.) <br />Amount of Increase $ <br />Decrease $ <br />Previous Amount $ yyY <br />Current Percent of Change: <br />New Amount $ <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />0 <br />