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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/06/19 <br />Name Alicia Czarnecki Department En incern <br />_.._ <br />BPW Date 08/13/19 Phone Extension 5903 <br />m�iiiiiiiimm �� MMMMMH�N�� mi � ww <br />Re�ec1 Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing <br />_ Check the A propriate Item Type — lie to <br />Professional Services Agreement Contract <br />EJ Open Market Contract El Amendment/Addendum <br />E] Bid Opening Bid Award <br />[:] Quote Opening Quote Award <br />Proposal Opening ❑ C/O & PCA No. <br />® Chg. Order, No. 2 Traffic Control <br />Other: <br />Regired Information <br />All Submissions <br />H Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />�] Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name Brown & Brown General Contractors„ Inc, <br />New Vendor Yes If Yes, Approved by Purchasing <br />E] No <br />MBE/WBE Contractor WBE Completed E-Verify Form Attached Yes <br />No <br />mm . g <br />Project Name South Bend Fire Department Training Center Classroom Buildin Project Number 117-127 <br />Funding Source 2018 Fire Station #9 Capital <br />Account No. 451-0901-422.42-02 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />El <br />Previous Amount <br />A new 3000 sf building with SBFD classrooms on the site of the FirE <br />Training Center <br />For Chanke, Orders OnIv <br />6 0 <br />Increase 1w400_ <br />Decrease ($ ) <br />$ 2151.00 <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ 658,228.00 <br />Increase <br />0.94% <br />1.28% <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount; <br />New Completion Date: <br />