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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />June 6. 2017 <br />Jacob M. Klosinski <br />Department Utilities Wastewater <br />BPW Date .tune 13, 2017 Phone Extension 574 235-9496 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />® Carol Kurzhal <br />U Agreement <br />U Contract U Proposal Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />® Change Order No. 10 <br />❑ <br />CIO & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />F] <br />Other: <br />Ke uirea inrormation <br />Company or Vendor Name <br />Thieneman Construction Inc. <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor <br />Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Wastewater Treatment Plant Secondary Treatment Improvements <br />Project Number <br />114-053 <br />2012 Sewer Bond, Capital Improvement Wastewater Treatment <br />Funding Source <br />Plant (subject to 3rd Quarter Appropriation) <br />Account No. <br />661-0630-415-42-06 <br />Amount <br />$ <br />Terms of Contract <br />Lump Sum and Unit Prices <br />Purpose/Description <br />The Division of Utilities recommends the approval of Change Order <br />No. 10 which includes dewateri_ng _delay costs_, 79 days additional <br />time, omission of any liguidated damages for Shutdown C. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />R'equir d For Change Orders O'nl <br />Amount of <br />Increase $ 422,000; 79 Days to Subst. & Final Completion <br />Decrease $ <br />Previous Amount <br />$ 13,046,684.87 <br />Current Percent of Change: 3.56% <br />New Amount <br />$ 13,468,684.87 <br />Total Percent of Change: +13.33% <br />Dispersal After Approval <br />Copy Original <br />® ❑ <br />Al Greek, Director of Utilities <br />® ❑ <br />Jacob M. Klosinski, Assistant City Engineer <br />® ❑ <br />Carol Kurzhal, Director of Financial Services, Environmental Services <br />