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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />DateJuly 24, 2020DepartmentPublic Works <br />NameLeslie BiekDivision/BureauEngineering <br />BPW DateAugust 11, 2020Phone Extension <br />Required Prior to Submittal to Board <br />LegalAttorney Name:Clara McDaniels <br />Controller review is required for all Contracts $5,000.00 or more and <br />Controller <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the Appropriate Item Type Required for All Submissions <br />AgreementContractProposalAddendum <br />Professional ServicesResolution <br />Bid OpeningBid AwardReq. to AdvertiseTitle Sheet <br />Quote OpeningQuote Award <br />ChangeOrder No. 1C/O & PCA No. PCA <br />Ease/Encroach.Traffic Control: <br />Other: <br />RequiredInformation <br />Company or Vendor NameRieth Riley <br />YesNoIf Yes, Approved by <br />New VendorPurchasing <br />MBE/WBE ContractorMBEWBE <br />MBE/WBE Contractor RequestedNoYes Name of Company <br />Project NameCorby Ironwood Rockne Intersection Improvement <br />Project Number 116-034 <br />Funding Source <br />80% Federal, 20%LRSA Capital <br />Account No.251-0606-431.42-96 <br />Amount$0 <br />Terms of ContractUnit Price <br />Purpose/Description <br />Time Extension of 25 days due to emergency sewer repair work. <br />Required sAttached(Non- <br />Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />$ <br />Increase <br />Amount of <br />Decrease$ <br />Previous Amount$$3,135,729.00 <br />Current Percent of Change: 0% <br />New Amount$$3,135,729.00 <br />Total Percent of Change:0% <br />Dispersal After Approval <br />Copy Original <br />Leslie Biek, lbiek@southbendin.gov <br />