Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/07/2020 <br />Name Alicia Czarnecki Department Engineering <br />BPW Date 04/14/2020 Phone Extension 5903 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />and Inclusion Officer Officer Name <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re uired or All Submissions <br />® Professional Services Agreement ❑ Contract ❑ Proposal <br />❑ Open Market Contract ❑ 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. ❑ Traffic Control ❑ Resolution <br />I-1 Other: I -I Ease./Encroach <br />Information <br />Company or Vendor Name <br />Lawson -Fisher Associates <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MB <br />❑ Yes <br />MBE/WBE Contractor <br />❑ E Completed E-Verify Form Attached <br />❑ No <br />Project Name <br />Olive Street Reconstruction Phase 2 <br />Project Number <br />114-064B <br />Funding Source <br />RWDA TIF <br />Account No. <br />324-1050-460.31-02 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Consulting services including environmental document preparation, <br />road <br />design_and plan development, utilityand plan development, utility coordination services, <br />railroad <br />coordination, and construction phase services for Olive Street Reconstruction <br />Phase 2, from Indiana Court to Tucker Drive. <br />For Change Orders Only <br />Amount of ❑ <br />Increase $ <br />❑ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Combletion Date: <br />Increase <br />% <br />Decrease <br />( %) <br />Increase <br />% <br />Decrease <br />( %1 <br />