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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 11/27/2023 <br />Name: Leslie Biek Department PW – Engineering Division <br />BPW Date: 12/12/2023 Phone Extension: 9323 <br /> <br />Required Prior to Submittal to Board BPW Attorney X Attorney Name Michale Schmidt <br />Dept. Attorney Attorney Name <br /> <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. PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Jones Petrie Rafinski Corp. <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 2023 Guardrail and Handrail Installation and Replacement <br />Project Number 122-043; PROJ 361 <br />Funding Source 101- Prof Serv <br />Account No. PR 29279 <br />Amount $9,818.00 <br />Terms of Contract NTE <br />Purpose/Description Amendment for the rebid and additional design services for the 2023 <br />Guardrail and Handrail Installation and Replacement project. Targeting bid <br />by end of year for construction in spring/summer 2024. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />