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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/18/2019 Department Public Works <br />Name Kyle Silveus .................._..._ Division/Bureau Engineering .... _ ........._ <br />BPW Date 11/26/20W19 Phone Extension 9083 <br />Re uired Prior to Submittal to Board <br />Legal ❑ Attorney Name: Clara McDaniels <br />Controller E 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 E Michael Schmidt <br />Check the Annronniate, Item T e Racuirad for All Submissions <br />(� Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />❑ Quote Opening <br />® Change Order No. 5 <br />El Ease/Encroach. <br />F� Other: <br />F1 Contract <br />Resolution <br />Bid Award <br />Quote Award <br />❑ C/O &PCA No. <br />❑ Traffic Control: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />J Proposal <br />❑ Req. to Advertise <br />wired Information <br />Environmental Glass <br />❑ PCA <br />Liberty Tower Exterior Renovations <br />118-086 R <br />........ _,. ............. ......._. <br />324-1050-460-42-02 <br />$3,036.00 <br />Addendum <br />❑ Title Sheet <br />Purpose/Description Remove 2 doors and add curtain wall <br />F-1 Required Contractor's Certification�� <br />Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />aFnaQrdrRe edCh71 s Onl <br />- - --.. <br />Amount of Increase $ 3,036.00 <br />� $.-................... ___ __--__------- <br />Decrease <br />..................... <br />........................wwww .... ............_......._ <br />Previous Amount $ 308,781.08 <br />Current Percent of Change: 0.98% <br />......._._..._�...................................................................... ......... <br />New Amount $ 311,817.08 <br />Total Percent of Change: 2.57% <br />..._ _ .._.__M.................. ......... ....... <br />Dispersal. After Arwroval <br />Copy <br />Original <br />El <br />El <br />El <br />El <br />El <br />El <br />