Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 5, 2019 <br />Department Public <br />Name Roger Nawrot Works <br />BPW Date Februar 12 2019 Phone Extension 5932 <br />a MMN <br />leg��ied Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — e( <br />N Professional Services Agreement ❑ Contract <br />❑ Open Market Contract ❑j Amendment/Addendum <br />Bid Opening F' Bid Award <br />Ej Quote Opening Quote Award <br />�] Proposal Opening C/O & PCA No. <br />Chg. Order, No. Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />,goiredl Information <br />All Submissions11 <br />LJ Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />F-1 Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Abonmarche Consultants, Inc. <br />❑ Yes If Yes, Approved by Purchasing <br />❑ No <br />�'I MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />St. Joseph Backwater Valves <br />119-018 <br />$60,00.00 <br />Not to Exceed <br />Purpose/Description —The Surve Desi gn and Pen-nittin . of back, water valve installation on <br />existing storm sewer discharge points along Northshore Drive at 3 locations <br />the St. Jos mh River, <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ -.._....... <br />................ .. _........ <br />Increase % <br />............ _....... ..... _ ........... .......... <br />Current Percent of Change: Decrease %) <br />New Amount $ <br />.. .............. ........ <br />Increase % <br />_.. <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />