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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/16/19 <br />Name Kyle Silveus Department E ineenrig <br />................ - ----- ...... - ---------------------- - 111­­ ­.. ­­ N_­­­ -, ­ ­ <br />BPW Date 7/23/19 Phone Extension 9083 <br />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 F-1 Michael Schmidt <br />Check the A <br />LJ Agreement <br />El Professional Services <br />Bid Opening <br />Quote Opening <br />Z Change Order No. 2 <br />El Ease/Encroach, <br />[JOther: <br />iropriate Item Type - <br />Contract <br />F-1 Resolution <br />El Bid Award <br />F1 Quote Award <br />C/O & PCA No. <br />Traffic Control <br />for All Submissions <br />­ ------------ <br />Proposal Addendum <br />E] Req. to Advertise [] Title Sheet <br />ired Information <br />[:1 PCA <br />Company or Vendor Name Ancon Construction Company, Inc. <br />New Vendor El Yes El No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor [:] MBE F-1 WBE <br />MBEIWBE Contractor Requested E] No E] Yes Name of Company_ <br />Project Name Historic Leeper Park Improvements - Bid Package 1 <br />. .......... . ­ . . .... ...... .. . ...... . . - - -------- . . . . ...... . . . <br />Project Number 118-01 OA <br />. . ....... - — ­­ .... . ------- - <br />Funding Source RW TIF Bond <br />. . ...... - ----- ­­ ­ . . ................ . . . . . . . . . . ..................... <br />Account No. 452-1101-452-31.02 <br />........... . . . - ------- <br />Amount ----- - -- <br />23,784.10 <br />Terms of Contract <br />.................. . . . ... . ............... --­­­.--- . ..... <br />Purpose/Description �niRequired <br />BQn <br />lay AdjuContractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Amount of z <br />F-1 <br />R i lqd�For Chq99 Orders <br />Increase $23,784.10 <br />..... .... . ..... -------- Decrease $ <br />............. ........ ................ . . .. <br />Previous Amount $ 1,322,012.97 <br />­­ ... . ...... . . . ..................... . . . . .......... ... <br />Current Percent of Change: 1.80% <br />New Amount 345,797.07 <br />.. .... . . .... <br />Total Percent of Change: 2.88% <br />Dispersal After Approval <br />Copy Original <br />Kyle Silveus <br />Patrick Sherman <br />