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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 19 2019,. <br />Name Alicia Czarnecki Department Engineering/Fire <br />BPW Date November 26 2019 Phone Extension 5903 <br />r , <br />/i iris ✓i// //„ /ii ✓ i/ ii i //�r/ / . r, J , i � r/ � /iii /� � rr„ i/ r <br />/✓���/,i//rr,, //J// U/ii ,,,/%r/„c ii/�/,/�i�/% 1 �y�y � „r,,,,/ rarr //%,;� / //�������///, <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney n Attorney Name <br />Purchasing ❑ <br />LJ Professional Services Agreement LJ Contract <br />n Open Market Contract [J Amendment/Addendum <br />Bid Opening <br />❑Bid <br />Award <br />Quote Opening rin <br />E] Q p g <br />0 <br />Quote Award <br />E] Proposal Opening <br />❑ <br />C/O & PCA No. <br />® Chg. Order, No. 1 <br />❑ <br />Traffic Control <br />F] Other: <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 />" Proposal <br />E] Special Purchase, QPA <br />(^] Req. to Advertise ❑ Title Sheet <br />❑ Reject Bids/Quotes <br />❑ PCA <br />0 Resolution <br />F Ease./Encroach <br />Gibson -Lewis, LLC <br />_. .......M <br />Yes If Yes, Approved by Purchasing <br />No <br />MBECompleted E-Verify Form Attached 0 Nos <br />Fire Stations 3 & 6 Renovations <br />........ <br />118-047 <br />..-... <br />FIRE CAPITAL IMPROVEMENTS / BUILDING IMPROVEMENT <br />287-0902-422.42-02 <br />South. Bend Fire Stations 3 and 6 Renovations. <br />Amount of H <br />Increase $ <br />E] <br />Decrease ($ 193,500.00) <br />Previous Amount <br />$ 1,120,000.00 <br />o.................. .......... <br />/o Increase <br />Current Percent of Change: <br />... .....- <br />Decrease (17.28%) <br />New Amount <br />�._... ......... .... <br />$ 926,500.00 <br />............ o <br />Increase /o <br />Total Percent of Change: <br />�..... ................. _.......... _ <br />Decrease ( %) <br />Time Extension Amount: <br />_... __-........ ................ <br />22 days <br />New Completion Date: <br />._ ........ ..... _ ._ _ _. .. <br />03/24/20 <br />