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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/03/2019 <br />Name Toy Villa Department Enn icneerin <br />BPW Date 07/23/2019 Phone Extension 5920 <br />nm��i�ewra�w�urr�nma�imumumuHiHiHUHUHuuumwuwiruuwuwuwuwuwuwuuiuiuiuiuiuiuvw.winiw.�Nwuwiuiuwuwm�m�. �...:,���� �-- rr��wru wuuuummimuuuuuuuuuuuuuuuummmm�muWuuuum uu�vurr�arair�u!m�wrrwwwwwvmn ....... ww �nnm,nmrmcrar�.� <br />Re wired Prior tomSubmittal to Board <br />Legal [J Attorney Name <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 [� <br />Check the A <br />" Agreement <br />Professional Services <br />❑J Bid Opening <br />El Quote Opening <br />❑ Change Order No. <br />[� Ease/Encroach. <br />❑ Other: <br />lro riate Item T.y <br />❑( Contract <br />Resolution <br />❑ Bid Award <br />❑ Quote Award <br />® C/O & PCA No <br />❑ Traffic Control <br />l e _►rq for All Submissions <br />Proposal <br />❑ Req. to Advertise <br />2 Final ❑ PCA <br />ired Information <br />Company or Vendor Name Walsh & Kelly, Inc. <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Great Lakes Capital Spe�c B.u.!..l.din..g,................. __� ��.�.�.�.�.�.�..............................���m.................._w <br />Proiect Number 118-058 <br />Funding Source RWDA TIF <br />Account No. 324.1050.460.42.04 <br />Amount $ <br />Terms of Contract <br />Purpose/Description Project Closeout <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion,. Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Required For Chancle Orders Oni <br />Amount of F-1 Increase $ <br />Z Decrease $ 11,055.90 <br />Previous Amount $ 334,721.70m <br />Current Percent of Change: 3.30%� <br />New Amount <br />Total Percent of Change <br />Copy <br />Original <br />n <br />El <br />$ 323665.80 <br />27.73% mm <br />Dispersal After Approval <br />