Change Order No 1 - Vested Interest Building Roof Repair – Project No. 119-049 - Midland Engineering Company, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date December 172019 Name Charlotte Brach Department Engineering BPW Date December 19 2019 Phone Extension 9246 ui 4 Prior to Submittal to Board BPW Attorney EJ Attorney Name Dept. Attorney] Attorney Name Purchasing E' Check the App u rw to It pi T � e �- Re E] Professional Services Agreement ❑ Contract ❑ Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award ❑ Quote Opening El Quote Award ❑ Proposal Opening ❑ C/O & PCA No. ® Chg. Order, No. 1 ❑ Traffic Control �' Other: Required Informati Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description All LJ Proposal F Special Purchase, QPA ❑ Req. to Advertise Reject Bids/Quotes PCA [� Resolution Ease./Encroach ❑ Title Sheet Midland lrninccri�g_ ............... Yes❑ If Yes, Approved by Purchasing No MBE Completed E-Verify Form Attached ❑ No WBE Vested Interest Building Roof Repair -----.. - .....................-._ .......... ........_ RWDA TIF �.. ---__ ......................._......... �. � ... 324-1050-460-42.02 Base Bid Unforeseen roof and structural conditions. F or Chad e'Ord (Jnl Amount of Increase IT$IT21,288ww10 El Decrease$ ) Previous Amount $ 226,800.00 _._._.. ............... Increase 9.39% Current Percent of Change: Decrease ( %) New Amount $ 248,088.10 _............. .........w ...._....._............. _. Increase 9.39%..._........ Total Percent of Change: Decrease ( % ............ ..... Time Extension Amount: New Completion Date: _................ .._...._ ............ ....... _...... _.