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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date0/2020 <br />DepartmentEngineering/VPA <br />NameAlicia Czarnecki/Patrick Sherman <br />BPW Date07/2020Phone 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. Traffic ControlResolution <br />Other: Ease./Encroach <br />Required Information <br />Company or Vendor NameWalsh & Kelly, Inc. <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 NameVPA Athletic Court Renovations, Phase 1 <br />Project Number PROJ00000176 <br />Funding SourceVenues Parks & Arts <br />Account No.471-11-206-288-444000/201-11-201-201-423000 <br />Amount$116,063.00 (Base Quote and Alternates 2A & 3A) <br />Terms of ContractNTE <br />Purpose/Description_Rehabilitation of various athletic courts located within the City of South <br />Bend.______________ <br />For Change Orders Only <br />$ <br />Increase <br />Amount of <br />Decrease($) <br />Previous Amount$ <br />% <br />Increase <br />Decrease(%) <br />Current Percent of Change: <br />New Amount$ <br />% <br />Increase <br />Decrease(%) <br />Total Percent of Change: <br />TimeExtensionAmount: <br />New Completion Date: <br /> <br />