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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />07/17/2018 <br />Alicia Czarnecki <br />Purchasing ® Michael Schmidt <br />Department Engineering <br />U <br />Agreement H Contract U Proposal jJ Addendum <br />❑ <br />Professional Services ❑ Resolution <br />❑ <br />Bid Opening ® Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening ❑ Quote Award <br />❑ <br />Change Order No. ❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. ❑ Traffic Control <br />fl <br />Other: <br />Company or Vendor Name <br />Martell Electric, LLC <br />New Vendor <br />❑ Yes ❑ No ❑ If Yes, Approved by Purchasing <br />MBEIWBE Contractor <br />❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name <br />Light Up South Bend — Riverside Lighting <br />Project Number <br />118-011A <br />Funding Source <br />COIT <br />Account No. <br />404-0602-431.31-06 <br />Amount <br />$88,716.00 <br />Terms of Contract <br />Purpose/Description <br />Rewirinq the historical lighting along Riverside Drive from Lafayette <br />Boulevard to Leland Avenue, and along Riverside Drive from Leland <br />Avenue to Hudson Avenue. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />R <br />Dispersal After Approval <br />Kara Bovles <br />Alicia Czarnecki <br />