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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 9/3/2019 Department Public Works <br />. ............. <br />Name Kyle Silveus Division/Bureau Engineering <br />BPW Date 9/10/2019 Phone Extension 9083 <br />Required Prior to Submittal to Board <br />.......... ..... . . . ..... . . ........ <br />Legal F-1 Attorney Name: Clara McDaniels <br />Controller El Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ Michael Schmidt <br />Check the AppLoR(iAte.Item Ty )e - Required for All Submissions <br />Agreement <br />Contract E] Proposal El Addendum <br />Professional Services <br />Resolution <br />El Bid Opening <br />El Bid Award El Req. to Advertise ❑ Title Sheet <br />F-1 Quote Opening <br />El Quote Award <br />M Change Order No. 2 <br />El C/O & PCA No. E] PCA <br />F-1 Ease/Encroach. <br />Traffic Control: <br />El Other: <br />Information <br />Company or Vendor Name <br />Environmental Glass <br />New Vendor <br />0 Yes [:] No EJ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />F-1 MBE <br />_WBE <br />MBE/WBE Contractor Requested No n Yes w Name of Compare <br />Tower Exterior Renovations, Division C - Storefront and <br />Project Name <br />Entrance <br />Project Number <br />118-086R <br />Funding Source <br />---- --------- -- <br />RWDA TIF <br />Account No. <br />.. . ..... ... <br />324-1050-460-42-02 <br />Amount <br />$ 1"b".7,8, <br />Terms of Contract <br />Purpose/Description Build TemporarymWalls for Security. Add contract Days due to <br />Glass Supplier <br />F-1 Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />......... .... .. . . <br />For,ChaqgI§ �Od6r�sQqyl_, <br />Amount of Increase $2,219.78 — - - - ---------- . <br />F-1 Decrease <br />...... ....... <br />Previous Amount $ 299,772.68 <br />Current Percent of Change: 0.74% <br />New Amount $_ddl,992.46 <br />Total Percent of Chan -0.66% <br />DisDersal After ADoroval <br />Copy <br />Original <br />El <br />1:1 <br />