Proposal - Kermida Inc - Organic Resources Facility Well Redevelopment

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 3/14/19 Department Name Michelle Smith, Dtirif / aetewater BPW Date 3/26/19 Phone Extension 5 994 ... ...... [tec tdred Prior to Submittal to Board BPW Attorney z Attorney Name Sandra Kenned Dept. Attorney Attorney Name Purchasing ❑ Check the A ' ro riate Item Type Cc:�rA Open .... _ ____.- sional Services Agreement Contract p Market Contract ❑ Amendment/Addendum Ej Bid Opening ❑ Bid Award E Quote Opening ❑ Quote Award Proposal Opening ❑ C/O & PCA No. ❑, Chg. Order, No. ❑ Traffic Control F Other: t efl fir? All Submissions .. Proposal Special Purchase, QPA El Req. to Advertise ❑ Title Sheet Reject Bids/Quotes ❑ PCA ❑ Resolution Ease./Encroach uired Information Company or Vendor Name KERAMIDA �..,... ,. -u —.m,� .. _ ... ..... . .....® s. � .. b .mm Purchasing If Yes Approved y g New Vendor No MBE/WBE Contractor Yes MBE Completed E-Verify Form Attached ® No Proposal for Well Redevelopment, GW Statistical Analysis, & Project Name Technical Evaluation Project Number FundingSource ...................�...... .�..�_a ,�.......................—...�e.............�.........�m,................ _........ _Or �.�.. .......��..Resources Other Contractual ...63-35 Account No. 641 0631 793 Amount �.........,..m..... Terms of Contract Purpose/Description IDEM re aired statistical evaPuation forgroundwater data from closed biosolids landfill at Or anic Resources Facilit and this ear's requirement to redevelo a well and evaluate sources of nitrate For Change Orders On Amount of Increase $ Decrease ($ Previous Amount $ Increase % Current Percent of Change: Decrease New Amount $ Increase /o Total Percent of Change: Decrease ( % Time Extension Amount: ..... ........ �... �.. New Completion Date.