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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 />*Al Greek Director of Utilities <br />❑ Agreement <br />❑ Contract U Proposal U Addendum <br />® Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control <br />F-1 Other: <br />Company or Vendor Name Black & Veatch Corporation <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Wastewater Treatment Plant - Electrical Upgrades <br />Project Number <br />Funding Source <br />2018 Utilities, Wastewater, Engineering Account <br />Account No. <br />641-0630-793-31-02 <br />Amount <br />$ 602,919.00 <br />Terms of Contract <br />Lump Sum Itemized Scope) <br />Purpose/Description <br />The Division of Utilities recommends the approval of a Professional <br />Services Agreement with Black & Veatch Corporation to provide <br />engineering and construction administration services for the subject <br />ro'ect. See agreement for balance of information. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Nan -Discrimination, Non -Debarment, E-Verify, lran, etc. <br />Required For Chan' e Orders on l <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease $ <br />Previous Amount <br />$ <br />Current Percent of Change: % <br />New Amount <br />$ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ❑ <br />AI Greek, Director of Utilities <br />® ❑ <br />Jacob M. Klosinski, Assistant City Engineer <br />® 11 <br />,Director of Financial Services, Environmental Services <br />