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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/07/19 <br />Name Alicia Czarnecki._._ ............. Department Engineering <br />BPW Date 05/14/19 Phone Extension 5903 <br />W <br />.M ....- ��..�... ....ww.w.w. <br />Required Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name <br />�.. ........................ ... __........ <br />Purchasing <br />Check the Appropriate Item Type - Required.1br All Submissions <br />II Professional Services Agreement " Contract <br />Open Market Contract <br />❑ <br />Amendment/Addendum <br />❑ Bid Opening <br />Bid Award <br />❑ Quote Opening <br />❑ <br />Quote Award <br />F] Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. 1 <br />Traffic Control <br />El Other: <br />lie tt aed Information <br />�...........—. <br />Proposal <br />❑ Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />[] PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Brown & Brown General Contractors, Inc. <br />New Vendor <br />If Yes Approved ��._.......................�.�. <br />El Yes by Purchasing <br />�] No <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached Nos <br />MBE <br />Project Name <br />South Bend Fire wDepartment Training Center Classroom Building... <br />Project Number <br />117-127mmm <br />Funding Source <br />_.._.............._... _..._............ <br />2018 Fire Station #9 Capital ������� <br />Account No. <br />451-0901-422.42-02 <br />Amount <br />�.................._..............................._W.._ <br />Terms of Contract <br />Purpose/Description <br />A new 3000 sf building with SBFD classrooms on the site of the FirE <br />Training Center <br />�...... .......... <br />For Change Orders On <br />Amount of <br />Increase $ 2151.00 ....... _....... <br />F] <br />Decrease ($ ) <br />Previous Amount <br />$ 0................................ _...... <br />Increase 0.33% <br />Current Percent of Change: <br />o <br />Decrease ( /o <br />New Amount <br />$ 652,088.00 <br />.._.__.......... .............w................... <br />Increase 0.78% <br />Total Percent of Change: <br />Decrease ( %1....... <br />Time Extension Amount: <br />20 �mm <br />New Completion Date: <br />10/20/19 <br />