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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/02/2020 <br />Name Alicia Czarnecki/Finnian Cavanaugh Department Engineering <br />BPW Date 11/10/2020 Phone Extension 5903 <br /> <br />Required Prior to Submittal to Board BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br /> <br />Purchasing <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: Ratify Selection Ease./Encroach <br />Required Information <br />Company or Vendor Name Bowen Engineering Corporation <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br /> WBE Completed E-Verify Form Attached Yes <br /> No <br />Project Name Pinhook Water Treatment Plant Guaranteed Savings Contract RFQ <br />Project Number 119-003 <br />Funding Source Water Capital <br />Account No. 622-06-604-620-442005--PROJ00000065 <br />Amount TBD <br />Terms of Contract TBD <br />Purpose/Description _Ratify recommendation of selected provider for a Guaranteed Savings <br />Contract for improvements to the South Bend Pinhook Water Treatment <br />Plant Improvements Project. __ <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> <br />New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> <br />Time Extension Amount: <br />New Completion Date: <br />