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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />10/ 10/2019 <br />Roger Nawrot <br />Department: Engineering <br />BPW Date 10/22/2019 Phone Extension 5932 <br />_.. <br />-. .................... wired Prior to Submittal to Board <br />-.... ._ ....... _............ mm........... ... <br />BPW Attorney E] Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing ❑ <br />Check the A <br />rop e Item Type — Requir( <br />Professional Services Agreement F] Contract <br />El <br />Open Market Contract <br />R Amendment/Addendum <br />Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ Quote Award <br />El <br />Proposal Opening <br />❑ C/O & PCA No. <br />® Chg. Order, No. 10 <br />❑ Traffic Control <br />Other: <br />Required Information <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 />for All Submissions <br />_.......... <br />Proposal <br />�..................�__.. <br />❑ Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />E ] Reject Bids/Quotes <br />(f PCA <br />Resolution <br />Ease./Encroach <br />Larson Danielson Construction Conianm, Inc. <br />...... <br />Yes] If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Howard Park Redevelop_mentm& St. Louis Boulevard Improvements <br />17-047B <br />_____.......... u <br />Park Bond, RETIF, RegionalCities & Cumulative Capital <br />452.1101.452.02.03/429.1050.460.42.02/201.1111.452.42.01/407.1101 <br />.452.42.01 <br />Approval of C. O. #10 <br />For C114gg Orders Only <br />Amount of Increase $ 101,329.08 <br />�] Decrease ($ <br />Previous Amount $ 18,345,759.58 _...___._..... <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase <br />Decrease <br />$ 18,447,088.66 <br />Increase <br />Decrease <br />0 Days <br />12/15/2019 <br />0.53% <br />