Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />August 1, 2017 <br />Jacob M. Klosinski <br />Department Utilities Env. Serv. <br />BPW Date August 11, 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 />I Agreement H Contract LJ Proposal Lj Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ® Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />® Change Order No. 1 ❑ CIO & PCA No. ❑ PCA <br />❑ EaselEncroach. ❑ Traffic Control <br />I-1 Other: <br />Company or Vendor Name Dudeck Roofing and Sheet Metal <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBE/VIBE Contractor Requested ❑ No ® Yes Name of Company See Contractor's Bid <br />Project Name _W_ WTP - Compressor Building Roof Replacement <br />Project Number 116-052 <br />Funding Source Utilities - Wastewater - Maintenance Services Building <br />Account No. 641-0630-793-36-01 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Lump Sum, Unit Pricing as Needed <br />Recommend approval of Change Order No. 1 for the addition of <br />one 1 roof drain at the lower roof of the Compressor Building. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination. Non -Debarment, E-Verifv. Iran, etc.) <br />Amount of ® Increase $ 2,800.00 <br />❑ Decrease $ <br />Previous Amount $ 248,800.00 <br />Current Percent of Change: 1.13% <br />New Amount <br />Total Percent of Change <br />Copy <br />Original <br />® <br />❑ <br />® <br />❑ <br />® <br />❑ <br />I►�.71�:�III�iIi; <br />1.13% <br />Dispersal After Approval <br />Al Greek. Director of Utilities <br />Jacob Klosinski, Assistant City Engineer <br />Carol Kurzhal, Director of Financial Services, Environmental Services <br />