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Date <br />Name <br />IIOARD OF PUBI LIC WORKS <br />AGENDA ITEM REVIEW REQUEST <br />February 16. 2018 <br />Ed Herman <br />Department Public Works -water <br />BPW Date February 27, 2018 Phone Extension 16108 <br />. . . . . . . . . . . . . . . <br />M <br />Controller <br />Purchasing <br />[_J Agreement <br />F-1 Professional Services <br />F-1 Bid Opening <br />F-1 Quote Opening <br />El Ch,g Order No. <br />El Ease./Encroach. <br />x Other: Bid Extension <br />x Attorney Name <br />Controller review is required for all Contracts $5,000,00 or more <br />x and greater than one year in length per the City Purchasing <br />Policy <br />x <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 />LJ Contract <br />E] Amendment <br />E] Bid Award <br />F-1 Quote Award <br />F-1 C/O & PCA No <br />F1 Traffic Control <br />W-TRI Ill'"OTIVEM INTO M. <br />2= <br />F] Req. to Advertise <br />El Title Sheet <br />n Yes El If Yes, Approved by Purchasing <br />x No <br />F] �E] MBE E] E Completed E-Verify Form Attached El YeNos <br />Ductile Iron IPi e, Valves, Fire Hydirants <br />Water Works Operatinq Fund & Cap�tal Fund <br />620-0640-606.23,-62 and 620-0640-661.46-04 <br />RED <br />Extend 2017 Bidl for one year at same prices <br />Material for installation in South Bend Water Distribution System <br />Amount of L] Increase <br />[-] Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy Original <br />F1 x <br />x El <br />x El <br />Roxanne Lawson <br />M <br />