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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/26/2020 <br />Department Public Works <br />Name Alicia Czarnecki/Sue Ellen Doudrick Division/Bureau Engineering <br />BPW Date 09/22/2020 <br />Phone Extension 5903 <br />Required Prior to Submittal to Board <br />Legal ❑ <br />Attorney Name: Clara McDaniels <br />Controller ❑ <br />Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Check the Appropriate <br />Item Type — Required for All Submissions <br />® Agreement Amendment <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services <br />❑ Resolution <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. <br />❑ Traffic Control: <br />I-1 Other: <br />1 Required Information 1 <br />Company or Vendor Name Cardno, Inc. <br />❑ Yes ® No ❑ If Yes, Approved by <br />New Vendor Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name St. Joseph Riverbank Stabilization <br />Project Number 118-005 <br />Funding Source Stormwater Fund (Professional Services) <br />Account No. 667-605-517-431000/667-605-517-431002 <br />Amount Amendment 2: $5,000.00 New Contract Amount: $104,600.00 <br />Terms of Contract Hourly Not to Exceed <br />Purpose/Description Engineering design services guardrail installation along North <br />Shore Drive Bank Stabilization voiect limits <br />U Required Contractor's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />