Request to Advertise - WWTP Belt Filter Press #4 Rehabilitation

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Date Name BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM March 6, 2017 Jacob M. Klosinski Department Utilities Env. Serv. BPW Date March 14, 2017 Phone Extension (574) 235-9496 Required Prior to Submittal to Board Legal ® Attorney Name Michael Schmidt Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® Carol Kurzhal Agreement ❑ Contract LJ Proposal LJ Addendum Professional Services ❑ Resolution Bid Opening ❑ Bid Award ® Req. to Advertise ❑ Title Sheet Quote Opening ❑ Quote Award Change Order No. ❑ C/O & PCA No. ❑ PCA Ease/Encroach. ❑ Traffic Control Company or Vendor Name New Vendor ❑ Yes ❑ No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name WWTP - Belt Filter Press #4 Rehabilitation Project Number 117-025 Funding Source Utilities - Wastewater - Other Equipment Account No. 641-0630-793-36-05 Amount $ Terms of Contract Purpose/Description Request to Advertise for Public Bid to rehabilitate one (1) dewatering belt filter press for solids handling at the Wastewater Treatment Plant. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Required For Change Orders Only Amount of ❑ Increase $ ❑ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ Total Percent of Change: % "Dispersal After Approval Copy Original ® ❑ Al Greek, Director of Utilities ® ❑ Jacob Klosinski, Assistant City Engineer ® ❑ Carol Kurzhal, Director of Financial Services, Environmental Services