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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date, February 20, 2018 <br />Department Public Works <br />Name <br />Tara Weigand <br />Division/Bureau <br />Engineering <br />BPW Date <br />February 27,2018 <br />Phone Extension <br />5998 <br />Legal E 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 F1 <br />U <br />Agreement Amendment <br />U Contract Ll Proposal Ll Addendum <br />El <br />Professional Services <br />0 Resolution <br />F-1 Bid Opening: <br />El Bid Award Z Req. to Advertise Z Title Sheet <br />F-1 Quote Opening <br />❑ Quote Award <br />n <br />Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />El <br />Ease/Encroach. <br />El <br />Traffic Control: <br />F-1 <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />MBE/WBE Contractor Requested <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />M <br />F-1 <br />E <br />El <br />El <br />0 <br />0 Yes El No El If Yes, Approved by <br />Purchasing <br />E] MBE F-1 WBE <br />F-1 No El Yes Name of Company <br />South Bend Fire Department Training Center Classroom <br />Building <br />117-127 <br />2018 Fire Station 1#P_ga Capital <br />?�_ <br />451-0901-422,42-02 <br />A new 3000 sf building with SBFD classrooms on the site of the <br />Fire Training Center <br />R Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non-Discrim !nation, Non -Debarment, E-Verify, Iran, etc.) <br />❑ Increase $ <br />Kara Boyles, City Engineer <br />Steve Cox, Fire Chief and Todd Skwarcan, Asst. Fire Chief <br />N� <br />