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Change Order No 5 - LWW and Charles Martin Sr Dr Improvements Project No 117-072A - Selge Construction Inc
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Change Order No 5 - LWW and Charles Martin Sr Dr Improvements Project No 117-072A - Selge Construction Inc
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4/7/2025 1:00:12 PM
Creation date
8/15/2019 8:26:28 AM
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Board of Public Works
Document Type
Projects
Document Date
8/13/2019
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />...._�..,,.. Date 07 /2019 <br />Y 2 _ .eee� . p g...�e g <br />Name To Villa ......�. <br />a Department: En merm <br />BPW Date 08/13/2019 Phone Extension 5920 <br />imimr�owwwwwaa�mw�w�iuwua�mmuwmaw „irmircaaroxi!minymarmR� !arm%.. emvmvimarasr� nm�rJnuurr� uiNuioimN!�wa�e�r... ,�.;�¢wrnn���wwu��m„unimru�mr <br />Rc_quired Prior to Submittal to Boa d rd <br />BPW Attorney ❑ AttorneyName .. <br />Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Require <br />E Professional Services Agreement ❑ Contract <br />Open Market Contract E] Amendment/Addendum <br />❑ Bid Opening F-1 Bid Award <br />❑ Quote Opening ❑, Quote Award <br />kO-"ltlhge <br />OrderpNo, g � �' Traffic Co �osal O enin C/O &ntrol <br />r: <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 />l Information <br />C. °. nst ctionCo., Inc. <br />..... ........................ <br />m <br />or All Submissions <br />���w ,_...._. m......�. <br />❑ Proposal <br />❑ Special Purchase, QPA <br />E] Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Yes" If Yes, Approved by Purchasing <br />® No <br />PrOiCCt Closeout <br />For <br />Fl�r�ao .. �............___ ..,�....�.. <br />" c Orders Only <br />Amount of 0) m,. <br />Decrease ($ 875.0 <br />Increase <br />Previous Amount $ 1,198,523.10 <br />..Increase......................................................................................._...._.......___....�.—.�.........................................................................�w <br />Current Percent of Change: Decrease (0.07%) <br />New Amount $ 1,197,648.10 <br />-...........................................o�����.��.............................�...��.............._. _..... ...._---- .......... ...�.�.�.�.��.�.�... <br />Increase /o <br />� �. ...... <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />
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