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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />12/18/18 <br />Jitin Kain <br />Department pW <br />BPW Date 12/20/18 Phone Extension 5835 <br />....�....._.. _. Required Prior to SubmittalWWto Bo�..........W.......�.._� <br />and <br />._... .._._ ..... _......._ <br />Legal Attorney Name Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />................_...... .W........ <br />Check the Appropriate Item T pemm_m uire for All Submissions <br />A reement ._...._ w..�........ <br />g Contract �] Proposal Addendum <br />El Professional Services ❑ Amendment <br />F] Bid Opening 0 Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening El Quote Award <br />❑ Chg Order No. D C/O & PCA No. PCA <br />❑ Ease./Encroach. El Traffic Control Resolution <br />R Other: F� Claim <br />Reauired Information <br />Company or Vendor Name AECOM Technical Inc. <br />New Vendor ❑ Yes If Yes, Approved by Purchasing <br />H No <br />MBE/WBE Contractor WBE Completed E-Verify Form Attached El Nos <br />South Shore Station Downtown Preliminary Engineering & Airport <br />Project Name Cao .ark Econ..o.......m....ic _m <br />www <br />Project <br />Number <br />Funding Source RWDA TIF <br />Account No. <br />Amount $260,900 <br />Terms of Contract <br />Purpose/Description iwo art study- 1 Be in preliminary� engineering � en icork for the <br />proposed South Shore Station in downtown South Bend and <br />2 Determine Economic Impact for Proposed Caro Park at the <br />Amount of Increase <br />Decrease <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount $ <br />........................... <br />Total Percent of Change: <br />Time Extension: <br />Copy Original' <br />El ® Linda Martin <br />❑ AECOM <br />�............... <br />Jitin Kain <br />Dispersal After Approval <br />