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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 22, 2020 <br />Department Public <br />Name Scott Kreeger Works <br />BPW Date April 28, 2020 Phone Extension 9245 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br /> <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type Required for 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 /> Other: Memorandum of Ease./Encroach <br />Understanding <br />Required Information <br />Company or Vendor Name St. Joseph County <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />Project Name Ironwood Drive - Resurfacing <br />Project Number 120-031 <br />Funding Source MVH <br />Account No. 266-0607-431.36-10 <br />Amount $261,139.51 <br />Terms of Contract Lump Sum <br />Purpose/Description __MOU with St. Joseph County for the resurfacing of Ironwood Drive from <br />US 20 Bypass to Kern Road. _________________________ <br />For Change Orders Only <br />$ <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 />