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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/17/2019 <br />Name Toy Villa _ Department Ear ineerin <br />BPW Date 12/19/2017 Phone Extension 5920 <br />Iec uird Prior to Submittal to Board <br />BPW Attorney E] Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />Check the Apte Item Type_� <br />El Professional Services Agreement E] Contract <br />Open Market Contract ❑ Amendment/Addendum <br />E] Bid Opening ❑ Bid Award <br />E] Quote Opening ❑ Quote Award <br />❑! Proposal Opening ! C/O & PCA No.l Final <br />0Chg. Order, No. Traffic Control <br />Other: <br />Required Informatic <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 />ru ose/ue cri tton <br />All Submissions <br />" Proposal <br />E] Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />El Resolution <br />Ease./Encroach <br />Rieth I i Construction Co. Inc. <br />.....- <br />❑ Yes If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached <br />❑ WBE <br />2019 Curb & Sidewalk Construction <br />119-004 IT-.�......u_ <br />....._ ..............__ <br />MVH <br />202.0619.431.31.06 <br />Pro ect Closeout <br />For Clianee Orders <br />Amount of ❑ <br />Increase $ <br />® <br />Decrease ($ 9,655.45) <br />Previous Amount <br />$ 394,628.50 <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />(2.45%) <br />New Amount <br />$ 384,973.05 <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />❑ Title Sheet <br />❑ Yes <br />❑ No <br />