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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/26/20 <br />Department Eng. <br />Name Sue Ellen Doudrick/Rebecca Plantz <br />BPW Date 9/8/20 Phone Extension 5922 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <br /> <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type Required for 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 /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Christopher B. Burke Engineering, LLC <br /> Yes If Yes, Approved by Purchasing <br />New Vendor <br /> No <br /> MBE Yes <br />MBE/WBE Contractor Completed E-Verify Form Attached <br /> WBE No <br />Project Name South Bend Dam 2020 DSSMR <br />Project Number 119-112 <br />Funding Source Stormwater Funds <br />Account No. 667-06-605-517-442002 <br />Amount $14,200 <br />Terms of Contract HNTE <br />Purpose/Description Emergency Action Plan Exemption, assistance with preparing quote package <br />for river level gauges and dam safety signage, underwater inspection <br />previously approved in Amendment #1 was to be performed by Gus <br />Commercial Divers who is no longer in business. JF Brennan Company will <br />perform this effort. <br />_______________________________________________________________ <br />___________________________________________________ <br />For Change Orders Only <br />$ <br /> Increase <br />Amount of <br /> Decrease ($ ) <br />Previous Amount $ <br /> % <br />Increase <br />Decrease ( %) <br />Current Percent of Change: <br /> <br />New Amount $ <br /> % <br />Increase <br />Decrease ( %) <br />Total Percent of Change: <br /> <br />Time Extension Amount: <br />New Completion Date: <br />