PCA - VPA Restroom Remodeling Proj No. 118-043R - Michiana Contracting, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/10/2019 Department Name .................Ty Villa Enineerin _o.................................... BPW Date 1 Z • I q . % ok Phone Extension 5920 Run Required Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney 0 Attorney Name Purchasing [: Check the A p p tit Item ] , E] Professional Services Agreement ❑ Contract [� Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award ❑ Quote Opening F] Quote Award ❑ Proposal Opening F] C/O & PCA No. Chg. Order, No. ❑ Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Vclal`w-All Submissions Information H Proposal E] Special Purchase, QPA Req. to Advertise ❑ Reject Bids/Quotes ® PCA F-1 Resolution Ease./Encroach ❑ Title Sheet Michiana Cantr�acti�, Inc.:....._...... ❑, Yes If Yes, Approved by Purchasing No ❑ MBE Completed E-Verify Form Attached Yes ❑ WBE F-1 No VPA Restroom Remodeli�ag, 118-043R __-------- ................... .._........ �.. 471.113 8.452.42.01 Parks Bond I ................................ $529,308.82 Proiect Closeout For Change Orders Qnly Amount of Increase $ .. wwwwwwww . ......:......... .....mm .. Decrease ($ ) Previous Amount $ Increase % IT�ITmmmm mmmITIT�� ._. ....................... ..................... Current Percent of Change: Decrease Q %) New Amount $ Increase % .._ Total Percent of Change: Decrease ........... ( %) Time Extension Amount: New Completion Date: . ...................... ..-..-._........................... ..............