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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />October 1, 2018 <br />Jacob M. Klosinski <br />Department Utilities Env. Serv. <br />BPW Date October 9, 2018 Phone Extension (574) 235-9496 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Al Greek (Dir. of Utilities) and Susan Zeeb (Dir. Of Fin. Serv. Env. <br />Purchasing ® Services) <br />Check the Apprppriate; Item Type -Required for A1LSubmi'ssions <br />❑ Agreement 0 Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ® Quote Award <br />❑ Change Order No. [ CIO & PCA No. ❑ PCA <br />❑ Ease/Encroach. ❑ Traffic Control <br />fl Other: <br />Required Information <br />Company or Vendor Name EFM Excavating (Walkerton, IN) <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 WWTP - St. Joseph Riverbank Stabilization - Phase 2 <br />Project Number nla <br />Funding Source Utilities - Wastewater - Other Equipment <br />Account No. 641-0630-793-36-05 <br />Amount $ 99,650.00 <br />Terms of Contract Lump Sum, Not to Exceed <br />Purpose/Description The Division of Utilities requests to award the WWTP St. Joseph <br />Riverbank Stabilization Phase 2 prolect to EFM Excavating <br />(Walkerton, IN) as the lowest, responsive, responsible bidder. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verity, 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 />Dispersal After Approval <br />Copy Original <br />® ❑ Al Greek, Director of Utilities <br />® ❑ Jacob Klosinski, Assistant City Engineer <br />® ❑ Susan Zeeb, Director of Financial Services, Environmental Services <br />