Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/15/19 <br />Department Public <br />Name Becca Plantz Works <br />Phone Extension <br />BPW Date 7/23/19 5998 <br />um�nmmm�woAmAmmomm wi�mm miwuwraxmmnmmu�rr�Rt� �w�or�.....,.... i o�uuummmuiuimuiu�ar�i r�oiu,���i <br />t� lJti°e�' Prior to Submitt <br />al to Board <br />BPW Attorney� �' ..� � ....._. � .� �..�.�... �.__.�....... �..... ,. <br />El Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing 0 <br />Check the Appropriate ItemType ype �- <br />Professional Services Agreement E, Contract <br />Open Market Contract El Amendment/Addendum <br />Bid Opening F-1 Bid Award <br />F Quote Opening ❑ Quote Award <br />❑ Proposal Opening [:1 C/O & PCA No. <br />® Chg. Order, No. 1 F� Traffic Control <br />E] 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 />All Submissions <br />Proposal <br />H Special Purchase, QPA <br />E] Req. to Advertise <br />E] Reject Bids/Quotes <br />F-1 PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />EPeerless Midwest <br />❑ s -E: -]I Yes, App rovedbyPurc....h...asing <br />No <br />� ... — �........_.. <br />MBE Completed E-Verify Form Attached El Yes <br />WBE No <br />North Station Well No: 1 Replacement <br />7-031 R _.......,.�. �.. ........ <br />Works <br />s�.� <br />62206406614602 <br />$ 5422-225..72................ <br />Lump....,..a.—..... �..............._. <br />Sum <br />Award bid for the replacement of Well Number 1 at North Station. <br />n.. m.�.Inc.... <br />..Amount <br />For Cha'e �e Orders Only <br />�.... <br />of <br />2 .72 <br />_m �. _�....��..... . <br />De <br />Decrease �. <br />Previous Amount <br />$ 532,7.... <br />63.00 <br />_ ... ....�....—........... .... <br />Increase <br />1.78% <br />Current Percent of Change: <br />Decrease <br />(0%) <br />New Amount <br />$ 542,225.72_��.�.�_..._...—_ <br />m� <br />.....................� .���.�.........�.�._..Y .................._ _ ................ <br />Increase <br />1.78°/ <br />0 <br />Total Percent of Change: <br />Decrease <br />Jq0 <br />Time Extension Amount: <br />0 <br />New Completion Date: <br />12/21/2019 ���� <br />. . ...... ._...... . m...._� _ <br />