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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 6, 2019 <br />Department <br />Name Jacob M. Klosinski En ineer,in .............._ <br />BPW Date Ma 14 2019 Phone Extension Ext. 9496 <br />_..........._..... ..... <br />Ike uid Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney F-1 Attorney Name <br />Purchasing Z Michael Schmidt <br />Check theApproeriate Item T e _ 1±tr <br />Professional Services Agreement Contract <br />Open Market Contract ❑ Amendment/Addendum <br />E] 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 />Re tiir d Information <br />All Submissions <br />LJ Proposal <br />Special Purchase, QPA <br />E]j Req. to Advertise <br />F Reject Bids/Quotes <br />❑' PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Shee <br />Company or Vendor Name <br />Guild Associates, Inc. (Dublin, Ohio) <br />..... <br />Yes Y If es, Approved by Purchasing <br />New Vendor <br />No <br />E] Yes <br />MBE[WBE Contractor <br />MBE Completed E-Verify Form Attached <br />❑ ❑ <br />Project Name <br />Special Purchase — Methane Analyzer Procurement and Installation <br />Project Number <br />........ ........................... <br />118-054 <br />Funding Source <br />Utilities, Wastewater, Repair Parts & Other Equipment RepairIT&ITMamt <br />Account No. <br />..�.........._..._ ......... ........ <br />641-0630-793-23-10 and 641-0630-793-36-05 <br />Amount <br />................ _._�. <br />$86,250.00 <br />Terms of Contract <br />.._...__...................................................................... <br />mLump mSumm .. ... <br />Purpose/Description <br />The Division of Utilities requests to purchase a methane analyz.er, rmrstall.t <br />and progamming to comply with the requirements of the U.S. EPA <br />Renewable Fuel Standard Registration. The methane n zer will be adder <br />the Micro gate Gas Processing Unit and progarnmed to communicate with 1 <br />Cit 's SCADA System and Historian. Special Purchase under IC 5-22-104 <br />...Increase._ <br />For Chan ge Orders Only <br />Amount of <br />$ ......... ......... ................. <br />E] <br />Decrease ($ ) <br />Previous Amount <br />_.... ..................... . .. ...... �....... �... <br />$ <br />Increase ....................... ......... <br />... ..... <br />Current Percent of Change: <br />..._....... ...................... _ <br />Decrease ( %) <br />New Amount <br />$ <br />Increase __.. % ............................ <br />Total Percent of Change: <br />..................................... <br />Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />