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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Augusst 3, 2020 <br />Department <br />Name Jacob M. Klosinski En2ineerin2/Utilities <br />BPW Date August 11, 2020 Phone Extension Ext. 9496 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer ❑ Officer Name Michael Patton <br />BPW Attorney ❑ Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name Clara McDaniels <br />Purchasing ❑ Michael Schmidt <br />Check the Appropriate Item Type — Reuirec 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 No. ❑ PCA <br />❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution <br />N Other: Utility Agreement n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Proj ect Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Information <br />American Electric Power / Indiana Michigan Power <br />❑ Yes[_] If Yes, Approved by Purchasing <br />® No <br />E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Neos <br />Wastewater Treatment Plant Electrical Improvements <br />117-132 <br />Sewage Works Operations, Repair and Building Maintenance Accounts <br />641-06-605-514-436001 (PR-00002584) <br />Agreement 1 $25,792.09; Agreement 2 $42,981.25; Total $68,773.34 <br />Lum Sum <br />Purpose/Description The Division of Engineering requests the Board of Public Works approve two <br />(2) Contribution -in -Aid of Construction Agreements with American Electric <br />Power / Indiana Michigan Power for the supply of electrical transformers at <br />the Wastewater Treatment Plant Com ressor Building and Re -use Building. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease ( %) <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />