Opening of Quotes - 1201 Western Ave. Sidewalk Vault Repair Proj No. 120-019 - John Boettcher Sewer & Excavating

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 8/17/20 Department Name Kyle Silveus Engineering BPW Date 9/8/20 Phone Extension 9083 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item Type — Re uired or All Submissions ❑ Professional Services Agreement ❑ Contract ❑ Proposal ❑ Open Market Contract ® Amendment/Addendum ❑ Special Purchase, QPA ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ® Quote Opening ® Quote Award ❑ Reject Bids/Quotes ❑ Proposal Opening ❑ C/O & PCA No. ❑ PCA ❑ Chg. Order, No. ❑ Traffic Control ❑ Resolution ❑ Other: ❑ Ease./Encroach Required Information Company or Vendor Name TBD ❑ Yes ❑ If Yes, Approved by Purchasing New Vendor ❑ No MB❑ Yes MBE/WBE Contractor E Completed E-Verify Form Attached ❑ ❑ No Project Name 1201 Western Ave. Sidewalk Vault Repair Project Number 120-019 Funding Source Other Contractual Account No. 620-06-604-606-439001 Amount TBD Terms of Contract Purpose/Description An unused under -sidewalk utility vault located at 1201 Western Avenue was found to be in need of repair. The City of South Bend desires to partially demolish and fill in this vault. The vault adjoins the basement wall of the privately owned structure at 1201 Western Avenue. For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount $ Increase % Current Percent of Change: Decrease ( %) New Amount $ Increase % Total Percent of Change: Decrease ( %) Time Extension Amount: New Combletion Date: