Change Order No 1 - Gemini at Washington Colfax Apartment Improvements Project No 118-080A - Dudeck Roofing and Sheet Metal

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 09/3/2019 Name Kyle Silveus Department Engineering BPW Date 09 / 10/2019 Phone Extension 9083 iuummmmmm000mmmuu imi r mmm mmmmmmmmoEPPPPuomomm�mommmmmmmmmmmmmmmmmow �rvnmmvmm�muuuuuuuuuuuuuumumumuuuuu mr Re uired Prior to Submittal to Board Legal ❑ Attorney Name Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing ❑ Check the Agreement Professional Services ❑ Bid Opening ❑ Quote Opening ® Change Order No. 1 ❑ Ease/Encroach. F-1 Other: Michael Schmidt C_....1 Contract ❑ Resolution ❑ Bid Award ❑ Quote Award ❑ C/O &PCANo. ❑ Traffic Control Company or Vendor Name Du egulre ' for All Submissions ❑ Proposal ❑ Req. to Advertise and Sheet Metal ❑ PCA New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE [:] WBE MBE/WBE Contractor Requested ❑ No n Yes Name of Company Project Name Gemini Washington Colfax Apartment Improvements Project Number 118-080A Addendum ❑ Title Sheet Funding Source West Washington TIF .._............................W............_.............. ....... Account No. 422-1050-460-42.03 ..._.... Amount $ 128,820.00 ....... Terms of Contract �Base �b.i... w... ��.................................................. _. Purpose/Description Repair of Apartment Building Ralong _......_ Roof 1 Washington St. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination„ Non -Debarment, E-Verifv. Iran, etc. Amount of ® Increase $ 4,475.00 ❑ Decrease $ Previous Amount $ 128",820.00 Current Percent of Change: 3.47% New Amount Total Percent of Change Copy Original ❑ $ 133,295.00 3.47% Dispersal After Approval