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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />February 2, 2017 <br />Tara Weigand <br />Department <br />Division/Bureau <br />Public Works <br />Engineering <br />BPW Date February 13, 2017 Phone Extension 5998 <br />priorR aired to Submittal, to, Board <br />Legal Z Attorney Name: Clara McDaniels <br />Controller El 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 El <br />F-1 Agreement Amendment <br />El Contract El Proposal LJ Addendum <br />Z Professional Services <br />El Resolution <br />n Bid Opening <br />El Bid Award El Req. to Advertise El Title Sheet <br />n Quote Opening <br />El Quote Award <br />El Change Order No. <br />n C/O & PCA No. El PCA <br />F-1 Ease/Encroach. <br />F-I'Traffic Control: <br />If Other: <br />Company or Vendor Name EPOCH Architecture + Planning <br />F1 Yes F] No 0 If Yes, Approved by <br />New Vendor Purchasing <br />MBEANBE Contractor [_1 MBE 0 WBE <br />MBEANBE Contractor Requested ❑ No [] Yes Name of Company <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />South Bend Fire Department Training Center Classroom <br />Buil <br />117-127 <br />Emergency Medical Services Ca ital Fund <br />287-0902-422.31-06 <br />$50,830.00 <br />Terms of Contract Lump Sum <br />Purpose/Description Design 30010 sf building with Sl3FD classrooms and provide bid <br />and construction phase services <br />"I Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />I Requiro0,For 1Chan gq_P�,4ers Orel <br />Amount of increase $ <br />F1 Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Chance: <br />Copy <br />Original <br />F-1 <br />F <br />Kara Boyles, City Engineer <br />Steve Cox, Fire Chief and Todd Skwarcan, Asst. Fire Chief <br />Kyle Copelin, EPOCH Architecture + Planning <br />