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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/15/2024 <br />Name Zach Hurst Department DPW <br />BPW Date 11/26/2024 Phone Extension 3057 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney <br />❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item I <br />Professional Services Agreement ❑ Contract <br />❑ Open Market Contract <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Proposal Opening <br />® Chg. Order, No. I <br />I-1 Other: <br />❑ Amendment/Addendum <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />Information <br />All Submissions <br />U Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Ease./Encroach <br />Company or Vendor Name Green Demolition <br />New Vendor ❑ Yes❑ If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑❑ MBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Project Name Drewry's Brewery Cleanup, Phase II — Bottling House Demolition <br />Project Number 119-031D <br />Funding Source River West DA TIF <br />Account No. PO-0033256 <br />Amount This change: $150,000; Revised Amount: $1,113,600 <br />Terms of Contract <br />Purpose/Description This change adds scope of additional foundation and brick building removal a <br />the northwest corner of the parcel. <br />For Change Orders Only <br />Amount of ® Increase $ 150,000 <br />❑ Decrease ($ ) <br />Previous Amount <br />$ 963,600 <br />Increase <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ 1,113,6C <br />Increase <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />15.57% <br />15.57% <br />