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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 3„ 2018 <br />Name Jacob M. Klosinski <br />Department Utilities Wastewater <br />BPW �eDate December 11 2018 Phone Extension on(574) 235-9496 <br />�Requireq�_.. <br />... <br />nor to Submittal to Board .... .w ------------ ...... _ <br />Legal ® Attorney Name Clara McDaniels Assistant City Attorney <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 />Purchasing <br />Check the <br />L_] Agreement <br />Z Professional Services <br />Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. _ <br />[� Ease/Encroach. <br />Other: Amendment <br />Al Greek Director of Utilities <br />N ropriate Item TypeP- e.�e .„for All Submissions <br />Contract ❑ Proposal <br />Resolution <br />El Bid Award Req. to Advertise <br />El Quote Award <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control <br />Rewired Information <br />Addendum <br />❑ Title Sheet <br />Company or Vendor Name Arcadis U.S, (Indianapolis, IN <br />New Vendor El Yes E No n If Yes, Approved by Purchasing <br />MBEM/BE Contractor F-1 MBE ❑ WBE <br />MBEM/BE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name Wastewater ........... Testing <br />Treatment ant - tressT.......... ..... __ <br />Project Number 117-133 <br />g ater E�.. <br />Fundin Source 2017 Wastew nmeering Account <br />Account No. 641-0630-793-31-02 <br />Amount $ 11,630.00 (Increases total contract from $148,790 to $160, 420) <br />Terms of Contract Lump Sum <br />Purpose/Description The Division of Utilities recommends the approval of Amendment <br />No. 1 to the Professional Services Agreement with Arcadis U'.S. for <br />Disinfection Pilot Testing and Cost Estimating as additional services <br />related to the Stress Testinq Evaluation and LTCP, <br />El Required Contractor's Certification Form Attached (Non - <br />Collusion, Non-Discrimina.�tio„ Non -Debarment, <br />. __�....��.......-.�. _.....�.�.�.�. <br />_mmd Chance Orders Only e uireFor.., _.�....................��� ____ .. _.... _ ..._�� <br />Amount of <br />❑ Increase $ _.......m... .... <br />❑ Decrease $ <br />Previous Amount $ <br />__ ��n.,..�......--- <br />Current <br />Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® E Al Greek, Director of Utilities <br />® F] Jacob M. Klosinski, Assistant City Engineer <br />® ❑Susan Zeeb, Director of Wastewater Financial Service11 s <br />