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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date04/22/2020 <br />Department Engineering/Fire <br />NameAlicia Czarnecki <br />BPW Date04/28/2020Phone Extension5903 <br />Required Prior to Submittal to Board <br />BPWAttorneyAttorney Name <br />Dept. AttorneyAttorney Name <br />Purchasing <br />Check the Appropriate Item Type Required for All Submissions <br />Professional Services AgreementContractProposal <br />Open Market ContractAmendment/Addendum Special Purchase, QPA <br />Bid OpeningBid AwardReq. to AdvertiseTitle Sheet <br />Quote OpeningQuote AwardReject Bids/Quotes <br />Proposal OpeningC/O & PCA No. PCA <br />Chg. Order, No. 2Traffic ControlResolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor NameGibson-Lewis, LLC <br />YesIf Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBEYes <br />MBE/WBE ContractorCompleted E-Verify Form Attached <br />WBE No <br />Project NameFire Stations 3 & 6 Renovations <br />Project Number 118-047 <br />Funding SourceFIRE CAPITAL IMPROVEMENTS / BUILDING IMPROVEMENT <br />Account No.287-0902-422.42-02 <br />Amount <br />Terms of Contract <br />Purpose/DescriptionSouth Bend Fire Stations 3 and 6 Renovations. <br />_______________________________________________________ <br />For Change Orders Only <br />$28,560.00 <br />Increase <br />Amount of <br />Decrease <br />Previous Amount$926,500.00 <br />3.08% <br />Increase <br />Decrease <br />Current Percent of Change: <br />New Amount$955,060.00 <br />% <br />Increase <br />Decrease(-14.73%) <br />Total Percent of Change: <br />TimeExtensionAmount: <br />New Completion Date: <br />