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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />October 18, 2016 <br />Department Div. of Env. Services <br />BPW Date October 25, 2016 Phone Extension (574) 235-9496 <br />Jacob M. Klosinski <br />Required Prior to Submittal to Board <br />Legal ® <br />Attorney Name Michael Schmidt <br />Controller ® <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ® <br />Carol Kurzhal <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ <br />Agreement <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />N <br />Other: Reiect Bids <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 />Purpose/Description <br />Amount of <br />Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBE I -I WBE <br />W WTP - Digester Gas Utilization <br />116-050 <br />Utilities, Wastewater Capital <br />642-0630-415-43-66 <br />The Division of Utilities has reviewed the Public Bid that was received on <br />10/11/2016 at the Board of Public Works Meeting. The Division of <br />Utilities recommends the Board of Public Works reject all bids. Bid price <br />exceeds Engineer's Estimate and budgeted amount for the subject project. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination Non -Debarment E-Verify, Iran etc.) <br />Required For Change Orders Only <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />® <br />❑ Al Greek <br />® <br />❑ Jacob M. Klosinski <br />® <br />❑ Carol Kurzhal <br />