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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/06/2020 <br />Name Toy Villa Department Engineering <br />BPW Date 05/012/2020 Phone Extension 5920 <br />BPW Attorne, <br />Required Prior to Submittal to Board <br />Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Check the Appropriate Item Type — Re wired 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 ❑ PCA <br />No.2 Final <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />I-1 Other: I -I Ease./Encroach <br />Information <br />Company or Vendor Name Geograph Industries, Inc <br />New Vendor ❑ Yes ❑ If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ Yes <br />No <br />Project Name City of South Bend Wayfinding Signage Program - Phase 1 <br />Project Number 119-052R <br />West Washington TIF ($10,000.00) <br />River East TIF ($30,000.00) <br />River West TIF ($25,700.00) <br />Funding Source <br />Professional Services (rest of amount) <br />324-1050-460-42-03 ($10,000.00) <br />429-1050-460-42-03 ($30,000.00) <br />422-1050-460-42-03 ($25,700.00) <br />Account No. <br />217-0602-367-31-06 (rest of amount) <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Project Closeout <br />For Change Orders Onlv <br />Amount of <br />Previous Amount <br />lei <br />Current Percent of Change: <br />New Amount <br />Increase $ 0 <br />Decrease ($1,686.000 <br />$ 139,157.00 <br />Increase _ <br />Decrease <br />$ 137,471.00 <br />Increase <br />0% <br />1.21% <br />Total Percent of Change: Decrease (1.21%) <br />Time Extension Amount: <br />New Completion Date: 1/24/2020 <br />