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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 07-01-2024 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 07-09-2024 Phone Extension: 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney ® Attorney Name <br />Michael Schmidt <br />Purchasing ® Mickey Low / Ron O'Connor <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 />n Other: n Ease./Encroach <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 />Information <br />❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />❑ ❑ <br />MBE Completed E-Verify Form Attached ❑ Nos <br />Sewer Repair — Bendix and Westmoor Intersection <br />124-045 <br />Sewer Operations, Other Contractual Service <br />PR-00034555: Acct. No. 641-06-602-509-439001 <br />Lumn Sum and Unit Prices <br />Special Contract Provisions Work to be completed by August 10, 2024 <br />Purpose/Description The Division of Engineering and Sewer Department request the Board of <br />Public Works open quotations at its meeting on July 9, 2024. The Division of <br />Engineering would like to review quotations received at the meeting and <br />provide an award recommendation at the July 9, 2024, Board meeting to <br />expedite repair work and coordinate materials procurement. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />Increase <br />Decrease <br />Increase % <br />Decrease ( % <br />New Completion Date: <br />