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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />3/14/2018 <br />Kieran Fahey Department Engineering <br />BPW Date 3/27/2018 Phone Extension 5993 <br />® Agreement <br />U Contract LJ Proposal LJ Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />❑ Other: Inter -local <br />agreement with Elkhart <br />Company or Vendor Name: City of Elkhart <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEMIBE Contractor ❑ MBE ❑ WBE <br />MBEMBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Inter -local agreement for biological monitoring of St. Joseph <br />Project Name river <br />Project Number NA <br />Funding Source Wastewater O&M -FISH STUDY WITH CITY OF ELKHART <br />Account No. 641-0630-793-63-35 <br />Amount $ 80,000/year <br />Terms of Contract 3 year agreement <br />Purpose/Description To assess the biological life of the St. Joseph <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Change Orders, Qnly <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy Original <br />Dispersal After Approval <br />® <br />❑ daragh.deegan@coei.org <br />❑ <br />❑ <br />❑ <br />❑ <br />