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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date ..Mal , 2019. <br />Department <br />Name Jacob M. Klosinski En ineerin i Utilities <br />BPW Date Mal 14 2019 Phone Extension Ext. 9496 <br />Re uired Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br />Purchasing ® .Michael Schmidt <br />Check the A propriate Item Type — 1 <br />Professional Services Agreement Contract <br />❑ Open Market Contract ® Amendment/Addendum <br />Bid Opening Bid Award <br />Quote Opening Quote Award <br />�] Proposal Opening C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />Other: <br />Reaauired Information <br />All Submissions <br />H Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />Q] Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />Aracadis U.S. (Indiana )olis, lmmmmmmmmmmmm <br />New Vendor <br />. . ............ <br />❑ Yes If Yes, Approved by Purchasing <br />No <br />El <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />MBE Nos <br />Project Name <br />WWTP Stress Testing Evaluation <br />Project Number <br />117-133 <br />Funding Source <br />Utilities, Sewage Works Clacratiwons, Engineering <br />Account No. <br />641-0630-793-31-02 <br />Amount <br />............... <br />$13,850.00 <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />The Division of Utilitiesrequeststhe Board of Public Works approval of <br />Amendment No. 2 for a Professional Services A eement with Arcadis U.S <br />to extend disinfection pilot testing and analysis of WWTP Stress Testin x <br />Evaluation in efforts to determine the best rehabilitation method for the <br />Disinfection Process Building and L ui ment, <br />Amount of <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase <br />Decrease <br />E. <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />