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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />7/ 11 /2019 <br />Nawrot <br />Department: Engineering <br />BPW Date 7/23/2019 Phone Extension 5932 <br />ommmu�urraa�mnwr�+.... i,*........,, w�wiim�m,�uwnu �w�moimiww.rrt.wimwwwuuwmwiwuwiuiuiuuwmuumuwimuwimmmmmmuiuiwiuwwwuriyiwiw,"wwudmo�ummmr��. umwwwwwwwwwwww,w,�w�wr�ur�um�mmw'.vwioivati,'a+wr amaa�u,�mr�a rrwNwamffiw ffla <br />_... _ _..._ v ...... <br />l r.��.� � � �cl Prior to Submittal to Board <br />BPW Attorney ❑I Attorney Name <br />Dept. Attorney E] Attorney Name <br />...................._.�.�............... <br />........w _ ..................�..... <br />Purchasing 0 <br />.............. ...... ww ..__.........__......� <br />Check the Appropriate Item 'ly e -- Reeluired fin- All Submissions <br />Professional Services Agreement II Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />❑ Quote Opening <br />EJ Quote Award <br />Proposal Opening <br />E] C/O & PCA No. <br />® Chg. Order, No. 7 <br />E] 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 />Information <br />Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />]] Reject Bids/Quotes <br />]] PCA <br />Resolution <br />Ease./Encroach <br />Larson Danielson Construction C an 1 _Inc. y <br />Yes If Yes, Approved by Purchasing <br />® No <br />E] MBE Completed E-Verify Form Attached Yes <br />WBE �] No <br />t. Louis Boulevard Improvements <br />Howard Park Redevelopment & S v .. <br />117-047B <br />Park Bond, RETIF,�i_onal ReCities & Cumulative Capital <br />452.1101.452.02.03/429.1050.460.42.02/201.1111.452.42.01/407.1101 <br />.452.42.01 <br />Ap.pLqval of C. O. #7 <br />... w <br />For "1 Orders Onl <br />. a_.�_ _......._ , mm .. <br />Amount of Increase $ 63 915.34 .. <br />1❑ Decrease ($ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount <br />$ 17997,438.65 <br />..... ,m_....................m. <br />Increase <br />Decrease <br />$ 18,061,353.99 <br />Increase <br />Decrease <br />0 Days <br />New Completion Date: 12/15/201 9 <br />0.3% <br />................................ <br />4.00%) <br />