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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />June 1, 2018 <br />Jacob M. Klosinski <br />Purchasing <br />Department Utilities Wastewater <br />® *Kara Boyles, City Engineer <br />❑ Agreement <br />❑ Contract U Proposal LJ Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑[ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ <br />C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ <br />Traffic Control <br />Other: <br />Company or Vendor Name Abonmarche Consultants, Inc. <br />New Vendor ❑ Yes ® No E] If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Ameritech (Parkland Drive) Lift Station Rehabilitation <br />Project Number <br />Funding Source Engineering <br />Account No. - - - - (TJF� 101-060-431-31-06 (Engineering) <br />Amount $ 9,800.00 <br />Terms of Contract Lump Sum (Itemized Scope) <br />Purpose/Description The Division of Engineering and Division of Utilities recommends <br />the approval of a Professional Services Agreement with <br />Abonmarche Consultants, Inc. to provide engineering services for <br />the rehabilitation of the Ameritech Lift Station. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc._ <br />Amount of ❑❑ Increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />® <br />❑ <br />® <br />❑ <br />® <br />❑ <br />% <br />Dispersal After Approval <br />Kara Boyles, City Engineer <br />-Al Greek, Director of Utilities <br />Jacob M. Klosinski, Assistant City Engineer <br />