Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/02/2019 .._w <br />Name Toy Villa <br />Department: Engineering <br />BPW Date 10/22/2019 Phone Extension 5920 <br />1�MYMIIIIIIIIIIIIIIIIIIIIIIIImiI�klA�C 00 —. mimmwuuimmmmmmmmmmm�.wwu�uwuuwwuww'r. w unraw mmi�uuuuuuuuuuuuiuwimuiuiuimmmmuiuiuiummrt w uu�w��w�wwa a mmom00000mmmmmmmmmmmuuuuuummmmmmi mm0000mmmmmmmmummrmmwmmmm <br />...._.......Required Prior to Submittal to Board <br />BPW Attorney ] Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />�._Check the Ar) ro riate Item <br />❑ Professional Services Agreement F Contract <br />E] Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />Quote Award <br />❑ Proposal Opening <br />® C/O & PCA No.l Final <br />[❑ Chg. Order, No. <br />❑ 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 />r All Submissions <br />LJ Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheet <br />F-1 Reject Bids/Quotes <br />❑'' PCA <br />❑ Resolution <br />Ease./Encroach <br />HRP COnStr cti(Al, Inc. <br />Yes❑ If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE [:] No <br />Miami Street Basin Drainage Imrovementsv <br />_..... <br />116-082C <br />South Side TIF -:;, 5 D <br />430.1050.460.42.01 <br />PLOicct ClOseout <br />�... .. _. For Clle Orders bpi........ <br />Amount of ❑ <br />Increase $ m <br />® <br />Decrease �$ 1�9.,9.Z0.00).....�m..a, <br />Previous Amount <br />_.�.�........................���������.m_... <br />$.....,504,790.00 ..._.........—m..�..................�.....� n �� <br />_..............��. <br />Increase 0.00% <br />Current Percent of Change: <br />Decrease (3.95%).....................w�� �_........................_ <br />New Amount <br />$ 484,870.00 <br />� ,. _............_ <br />Increase 0.00% _ <br />Total Percent of Change: <br />— �.� ��....... �. <br />Decrease <br />Time Extension Amount: <br />m ................���������...... <br />New Completion Date: <br />