Professional Services Agreement - Baker Tilly Municipal Advisors LLC - IDEM Annual Landfill Financial Assurance Test and Report Assistance

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date .. A )Hl 193 2019 Name Daniel Parker Department A&F BPW Date May 14, 2019 Phone Extension 9822 Required Prior to Submittal to Board BPW Attorney Attorney Name McDawiels Dept. Attorney Attorney Name Anderson Purchasing r] Check the Appropriate Item Type -- Professional Services Agreement ❑ Contract Fj Open Market Contract ❑ Amendment/Addendum ❑' Bid Opening ❑ Bid Award ❑ Quote Opening ❑ Quote Award Proposal Opening C/O & PCA No. Chg. Order, No. F-1 Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract All Submissions H Proposal Special Purchase, QPA F] Req. to Advertise ❑ Reject Bids/Quotes PCA Resolution Ease./Encroach Re t�i'ard Information Baker Tilly Municipal Advisors LLC ❑mYes❑ If Yes, Approved by Purchasing ❑ Title Sheei ® No ❑ WBE Completed E-Verify Form Attached NoF]es IDEM Annual Landfill Financial Assurance Test (329 IAC 10-39) None ..... Sewage Works Operations Fund 641 641-063 0-793.31-04 _........ __w ............. $5 250 Purpose/Description Professional services contract to perform landfill financial assurance test calculations and assist in development of report to submit to the Indiana Department of Environmental Management (IDEM). 329 IAC 10-39- 2(a)(5)(C)(iii) requires that an independent CPA sign off on these calculations. For Chafe Orders Onl Amount of E] Increase $ „ Decrease ($ ) Previous Amount $ Increase Current Percent of Change: Decrease New Amount $ Increase Total Percent of Change: Decrease Time Extension Amount: New Coni�on Date ITITITITIT_IT ........................0,_____...................................... ....... ..