Laserfiche WebLink
Date <br />Name <br />BOARD OF PUBLIC WORDS <br />AGENDA ITEM REVIEW REQUEST FORM <br />March 19, 2018 <br />Jacob M. Klosinski <br />Purchasing <br />Department Utilities - Wastewater <br />® Al Greek, Director of Utilities <br />❑ Agreement <br />❑ Contract <br />❑ Proposal L] Addendum <br />® <br />Professional Services <br />❑ <br />Amendment <br />❑ <br />Bid Opening <br />❑ <br />Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ <br />Quote Award <br />❑ Chg Order No. <br />❑ <br />CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control <br />❑ <br />Resolution <br />n <br />Other: <br />❑ <br />Claim <br />Company or Vendor Name <br />New Vendor <br />MBEIWBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Frost Engineering and Consulting <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify.Form Attached El Yes <br />❑ WBE ® No <br />Leeper Park Bridge — Structural Assessment <br />nla <br />Water Works, Operations, Engineering <br />620-0640-658-31-02 <br />$2,225.00 <br />_Lump Sum <br />Leeper Park Bridge was damaged durina_the recent flood event <br />in late FebruaDL/early March 2018. Frost Engineering will provide <br />a structural assessment and recommendations for repairing the <br />Leeper Park Bridae over the St. Joseoh River. <br />Amount of ❑ Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension: <br />Dispersal After Approval <br />Copy Original <br />® ❑ Al Greek, Director of Utilities <br />® ❑ Jacob M. Klosinski, Assistant City Engineer <br />® ❑ Emily Leyes, Director of Financial Services, Environmental Services <br />