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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/15/2019 <br />Name Roaer Nawrot <br />Department: Engineering <br />BPW Date 8/27/2019 Phone Extension 5932 <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate, Item Type -� <br />[] Professional Services Agreement ❑ Contract <br />❑] Open Market Contract E] Amendment/Addendum <br />❑ Bid Opening Bid Award <br />Quote Opening Quote Award <br />EJ Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. 8 ❑ Traffic Control <br />n Other: <br />d' ir All Submissions <br />Proposal <br />E] Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Company or Vendor Name Larson Danielson Construction Compan , Inc. <br />New Vendor ❑ Yes If Yes, Approved by Purchasing <br />Z No <br />MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑❑ Nos <br />Project Name ............... ................... .... <br />Project Number 117-047B <br />Funding Source Park Bond RETIF Regional Cities & Cumulative Cal ltal <br />452.1101.452.02.03/429.1050.460.42.02/201.1111.452.42.01 /407.1101 <br />Account No. .452.42.01 <br />Amount <br />Terms of Contract <br />Purpose/Description A , royal of C', O <br />.......... For 'sae Orders Only ................ <br />._...__ <br />Amount of ® Increase $ 156,046.59 <br />❑ Decrease _....._.___M ....__.. <br />Previous Amount $ 18,061,353.99 <br />Increase 0.1 % <br />..................................... <br />Current Percent of Change: Decrease <br />New Amount $ 18,217,400.58 <br />_...._ ....... ......................_.. <br />Increase % <br />...... .._._.. <br />Total Percent of Change: Decrease 3.19% <br />Time Extension Amount: 0 Days <br />.. ....... ........... - . ____ _ ............ <br />New Completion Date: 12/15/2019 <br />