PSA - Preparation of 2020 Dam Safety Surveillance and Monitoring Report for FERC- Christopher B. Burke Engineering, LLC

Home Browse Search

BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/17/2019 Name Sue Ellen Doudrick _ .... ............ Department Eng. BPW Date 12/19/2019 Phone Extension 5922 .. .................. _... �__ Required Prior to Submittal to Board BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney Attorney Name Purchasing ® Michael Schmidt Check the App ropriate Item T ZProfessional Services Agreement ❑ Contract Open Market Contract F Amendment/Addendum Bid Opening E] Bid Award Quote Opening Quote Award ❑ Proposal Opening ❑ C/O & PCA No. ❑ Chg. Order, No. ❑ Traffic Control Other: "l eauired Information All Proposal Special Purchase, QPA Req. to Advertise ❑ Reject Bids/Quotes PCA Resolution F-1 _..... Ease./Encroach ..... ❑ Title Sheet Company or Vendor Name Christopher B. Burke Engineering, LLC E] YesFJ If Yes, Approved by Purchasing New Vendor Z No MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached Yes No Project Name South Bend Dam 2020 DSSMR Project Number ............. 119-112 Funding Source � ................... Professional En ineerirvices Account No. 101.0602.431.31.06 Amount $5,000 Terms of Contract HNTE Purpose/Description .........._ _..._.......................................................... ....__. Preparation of 2020 Dam Safety Surveillance and Monitoring Report (DSSMR) for the South Bend Dam due to Federal Energy Regulatory Commission (FERC) yearly For Change Orders Only �. Amount of Increase $ Decrease ($ Previous Amount $-....... Current Percent of Change: New Amount M Increase % Decrease ( % Increase % Total Percent of Change: Decrease (wwwwww w www% Time Extension Amount: New Completion Date:....__....__.........._.