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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 10/14/20 <br />Name Alicia Czarnecki Department Engineering <br />BPW Date 10/27/20 Phone Extension 5903 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br />Check the Appropriate Item Type – Required for All Submissions <br /> Professional Services Agreement Contract Proposal <br /> Open Market Contract Amendment/Addendum Special Purchase, QPA <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. 1 PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Gibson-Lewis, LLC <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name Morris Theater Plaster Repair <br />Project Number 118-094R <br />Funding Source Morris Performing Arts Center Capital <br />Account No. 416-11-220-292-443001--PROJ00000050 <br />Amount $333,224.00 <br />Terms of Contract NTE <br />Purpose/Description _Restoration work of the plaster frieze at the perimeter of four domes at <br />Morris Performing Arts Center.______________ <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 13,170.00 <br />($ ) <br />Previous Amount $ 333,224.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />3.95% <br />( %) <br />New Amount $ 346,394.00 <br />Total Percent of Change: <br />Increase <br />Decrease <br />3.95% <br />( %) <br />Time Extension Amount: <br />New Completion Date: