Memorandum of Understanding - MACOG - Traffic Count Data Collection

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date December 3, 2018 Name Scott Kreeger Department Public Works Division/Bureau Engineering BPW Date December 11, 2018 Phone Extension 9245 m�muuuuuuuuuuuuuuuuuuuuuuuuuuuumm�rvxu�rmmmaxuwxenm� mwwm ioonnmiMimimimm�mwmi��mmmmmmuiuim�mumr�m....�vn�rrm�w�rn�mmmmmmmmmmuuuuuuumimimuimuiuiuimuuuimmuiuimmmwwuw:w.w.�uw im �.. ror�aw�rv�anru!ww!�im�m�m!m�i�umum�uw�u; ........... F gquired Prior to Submittal to Board Legal ® Attorney Name: Clara McDaniels Controller ❑ Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing X Check the Agreement Amendment Professional Services Bid Opening Quote Opening Change Order No. ❑ Ease/Encroach. Other: Michael Schmidt ►ropriate Item Type - Contract Resolution Bid Award Quote Award ❑ C/O & PCA No. ❑ Traffic Control: Company or Vendor Name New Vendor MBE/WBE Contractor MBE/WBE Contractor Requested Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description MACOG for All Submissions Proposal ❑ Req. to Advertise fired Information FY19 Traffic Count MOU ❑ PCA LRSA — Professional Services 251-0608-431.31-06 $28,000 Addendum ❑ Title Sheet Traffic count data collected by MACOG for City of South Bend " Required Contractor's Certification Forms Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) ._ ......_..... .... __ _-.w_, _Beq.uired For Change Orders Onl .... - .... .. _.. _._ _... Amount of El increase " $_ ... �. _............... a Decrease $ Previous Amount $ Current Percent of Change: % meee................. New Amount $ ..w Total Percent of Change: DjN persal After A Copy Original