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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/15/2019 <br />Department Public <br />Becca Plantz Works <br />Name...................................................___— --------- -.... _..........._......_.... <br />BPW Date 7/23/2019 Phone Extension 5998 <br />u w. n, srrmimrrr ui ur�im�rvwr .av�nmMNYNJininiwillillw <br />—. .. Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney E] Attorney Name <br />...........................................................�.�.�.�.��........... w...� <br />Purchasing <br />the Appropriate Item Type - <br />Professional Services Agreement ❑ Contract <br />Open Market Contract ❑ Amendment/Addendum <br />F] <br />Bid Opening ❑ Bid Award <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Proposal Opening C/O & PCA No. <br />Z <br />Chg. Order, No. 1 EJ 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 />)r• All Submissions <br />Proposal <br />J Special Purchase, QPA <br />E] Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Construction, Inc. <br />...... <br />� <br />Yoder�... con _.. ��. pp y_.............................n�_____ m, � . ......................................�......................�......................_ <br />Yes[ If Yes..,.Approved b Purchasing <br />g <br />® No <br />MBE Completed E-Verify Form Attached ❑❑ Nos <br />WBE <br />,Century Center U a es & Renovations <br />_LL <br />118-104AR <br />Hotel tel Tax Fund <br />73 04.42010.000.0099 <br />$97,575.00 <br />LUmp Sum <br />Upgades and renovations to the office spaces at the Century Center, <br />............... ....... <br />r <br />For C uq!q Orders Only <br />Amount of <br />Increase $ 8,075 00 <br />... .... . . . �... ... ... �._ <br />❑ <br />Decrease <br />..._.._.m <br />Previous Amount <br />$ 89,500.00 <br />Increase <br />9% <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ 97,575.00 <br />Increas...m.m.......w.�__�_��� <br />e <br />9% <br />Total Percent of Change: <br />e: <br />Decrease <br />0% ................... . m� mm.w <br />Time Extension Amount: <br />n/a <br />New Completion Date: <br />7/28/2019 <br />