Laserfiche WebLink
<br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date07/27/2020 <br />Department Engineering <br />NameAlicia Czarnecki <br />BPW Date08/11/2020Phone 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/AddendumSpecial 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 Name <br />YesIf Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBEYes <br />MBE/WBE ContractorCompleted E-Verify Form Attached <br />WBENo <br />Project NamePinhook Water Treatment Plant Guaranteed Savings Contract RFQ <br />Project Number 119-003 <br />Funding SourceWater Capital <br />Account No.622-06-604-620-442005--PROJ00000065 <br />Amount <br />Terms of Contract <br />Purpose/Description_Request to Advertise the Request for Qualifications from Providers of a <br />Guaranteed Savings Contractfor improvements to the South Bend Pinhook <br />Water Treatment Plant Improvements Project.__ <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 />Time ExtensionAmount: <br />New Completion Date: <br />