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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 12, 2018 <br />Name Jacob M. Klosinski <br />Department Utilities Wastewater <br />BPW Date December 20, 2018 Phone Extension JE.,,35-9496 <br />1111111111111111111111111 <br />Required Prior to Submittal to Board . . . . . ... . .............. <br />. ................................ <br />Legal Attorney Name Clara McDaniels, Assistant City Attorn�y <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 />mm Check the. <br />Agreement <br />Professional Services <br />F] Bid Opening <br />] Quote Opening <br />[:] Change Order No. <br />[-1 Ease/Encroach. <br />F-1 Other: <br />A] Greek, Director of Utilities <br />............... .. . ..... . <br />propriate Item Type= _qe gy Lre�d for All Submissions <br />. ... ......... ­_.. I. — <br />El Contract Proposal <br />El Resolution <br />�I Bid Award F-1 Req. to Advertise <br />E] Quote Award <br />Ej C/O & PCA No. El PCA <br />Traffic Control <br />Required Information <br />Company or Vendor Name Cornerstone Stewards, Inc. (Fort Wayne, Indiana <br />New Vendor Z Yes F No El If Yes, Approved by Purchasing <br />MBEANBE Contractor F1 MBE F WBE <br />MBE/WBE Contractor Requested D No F Yes Name of Company <br />Project Name WWTP Raw Sewage Pump, No. 2 Rehabilitation <br />..................... <br />Project Number 118-020 <br />Addendum <br />0 Title Sheet <br />2018 Sewage Works Capital, Wastewater, Treatment and Disposal <br />Funding Source Equipment <br />Account No. 642-0630-415-43-66 <br />... — . ...... __ . . ...... ___ ... ... <br />Amount ........... 370,000.00 <br />Terms of Contract Lump Sum <br />........... . ........ <br />Purpose/Description The Division of Utilities recommeds the Board of Public Works <br />award the bid for the subject project to the most responsive, <br />responsible bidder, Cornerstone Stewards, Inc. (Fort Wayne, <br />Indiana). <br />F-1 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc) <br />Required For Change Orders Only <br />............ <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 />z F-1 Al Greek, Director of Utilities <br />z F-1 Jacob M. Klosinski, Assistant City Engineer <br />z F-1 Susan Zeeb, Director of Wastewater Financial Services <br />