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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 18 2019 <br />Department <br />Name Jacob M. Klosinski Eu ifleerll� / Iftilitics <br />BPW Date June 25 2019 Phone Extension Ext. 9496 <br />June <br />- iuiuwu�u�.wuwwwuuuwiuu�ro�,�nmrwwwvw,mzvwmvra�;vr.���r�w�w�u�u�w�w�w�w� w�� +�+w�,� ��xw�, auu��m�m . ........ rrianwioioio��i�immmmmmmmminir�sr--a���uti <br />e aid Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing <br />Michael Schmidt <br />®� Check the Amite Item Tom;— <br />[T Professional Services Agreement <br />FJ Contract <br />El Open Market Contract <br />® Amendment/Addendum <br />❑ Bid Opening <br />❑ Bid Award <br />Quote Opening <br />❑ <br />Quote Award <br />[] Proposal Opening <br />❑ <br />C/O & PCA No. <br />Z Chg. Order, No. 001 <br />E] Traffic Control <br />El Other: <br />......... ......... <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of z <br />El <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />El Ease./Encroach <br />❑ Title Sheel <br />[� Yes�f If YSouth Bend, Indiana] <br />es, <br />HRPConstruction, m.... .. <br />Approved by Purchasing <br />No <br />E] MBE ❑ WBE Completed E-Verify Form Attached El es <br />Airport Annexation Area SanitarySewer Extension <br />117-108 <br />2018 TIF River West Airport <br />324-1050-460-31-02 - <br />The Division of lwngineerin reciuests the Board of Public Works ap rp oval <br />Change Order No 1 for Project No. 117-108 Airport Annexation Area <br />.Saii.itary Sewer Extension for field invcstt t ;In and installation of ei xlll L8 <br />restrained ioints at four�4 fire hydrants servicing US 20 and the Terre Ver <br />Increase �$ ,200mm00 <br />... <br />Decrease ..............�... <br />$ 766,957.00 <br />Increase 0.94% _ <br />Decrease ( % <br />$ 774,157.00 <br />Increase 0.94% <br />Total Percent of Change: Decrease .%�)..............._._---m....................................... <br />m�.............................................m...._......................_�...... --.....................................�.........ru� <br />Time Extension Amount: 0 Da s <br />p y (No Change) <br />New Completion Date: Jul 31 2019 ..... �.._ , _ ,� <br />