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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4-6-20 <br />Department Utilities <br />Name Al Greek Wastewater <br />BPW Date 4-14-20 Phone Extension 4210 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney x Attorney Name <br />Dept. Attorney Attorney Name <br /> <br />Purchasing <br />Check the Appropriate Item Type Required for All Submissions <br />x Professional Services Agreement Contract Proposal <br /> Open Market Contract x Amendment/Addendum Special Purchase, QPA <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. PCA <br /> Chg. Order, No. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Arcadis Engineering <br />x Yes If Yes, Approved by Purchasing <br />New Vendor <br />x No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />Project Name South Bend Utility Billing Implementation Support <br />Project Number <br />Funding Source Wastewater Engineering <br />Account No. 641-0630-793-3102 <br />Amount $407,950 <br />Terms of Contract 2700 additional hours thru Oct 2020 <br />Purpose/Description ___South Bend is updating its Customer Service and Billing software__, see <br />attached letter memo <br />_______________________________________________________________ <br />_______________________________________________________________ <br />__________________________________________ <br />For Change Orders Only <br /> <br /> Increase <br />Amount of <br /> Decrease ($ ) <br />Previous Amount $ <br /> <br />Increase <br />Decrease ( %) <br />Current Percent of Change: <br /> <br />New Amount <br /> <br />Increase <br />Decrease ( %) <br />Total Percent of Change: <br /> <br />Time Extension Amount: <br />New Completion Date: <br /> <br />