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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA rrEM REVIEW REQUEST FORM <br />February 16, 2018 <br />Ed Herman <br />Department Public Works -Water <br />_BPW Date February 27, 201'8 Phone Extension 6108 <br />... . ....... . .......... .. <br />Legal x Attorney Name <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller x and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing x <br />LJ Agreement <br />H Contract <br />LJ Proposal LJ Addendum <br />F-1 Professional Services <br />R Amendment <br />n Bid Opening <br />R Bid Award <br />El Req. to Advertise, El Title Sheet <br />F-1 Quote Opening <br />F-1 Quote Award <br />[:] <br />Chg Order No. <br />El <br />C/O & PCA No. <br />PCA <br />El <br />Ease./Encroach. <br />El <br />Traffic Control <br />El Resolution <br />x Other: Quote extension <br />1-11 <br />Claim <br />Company or Vendor Name <br />New Vendor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />M E Simpson Company <br />'17—Yes ❑ If Yes, Approved by Purchasing <br />x No <br />F] MBE n WBE Completed IE-Verify Form Attached Nos <br />F1 <br />South Bend Water Works Large Meter Testing <br />Water Works Dperating Fund <br />620-0640-605-31-06 <br />$57,275 <br />One gear extension from March 2017 quote award <br />Testing of 2" and larger meters at customer locations <br />Amount of F] increase <br />EJ Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Copy Original <br />x Kim Thompson <br />x Roxanne Lawson <br />x Scott Horvath <br />