Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/16/20 Department Public Works <br />Name Kyle Silveus Division/Bureau Engineering <br />BPW Date 11/24/20 Phone Extension 9083 <br />Required Prior to Submittal to Board <br />Legal Attorney Name: Clara McDaniels <br />Controller 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 Michael Schmidt <br />Check the Appropriate Item Type – Required for All Submissions <br /> Agreement Contract Proposal Addendum <br /> Professional Services Resolution <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award <br /> Change Order No. 5 C/O & PCA No. PCA <br /> Ease/Encroach. Traffic Control: <br /> Other: <br />Required Information <br />Company or Vendor Name Indiana Earth, Inc. <br />New Vendor Yes No If Yes, Approved by Purchasing <br />MBE/WBE Contractor MBE WBE <br />MBE/WBE Contractor Requested No Yes Name of Company <br />Project Name Western Ave. Streetscape - Phase III <br />Project Number 118-076 <br />Funding Source RWDA TIF <br />Account No. 324-1050-460-42-03 <br />Amount $N/A <br />Terms of Contract <br />Purpose/Description Final Quantity Adjustment, Added Bench <br /> Required Contractor’s Certification Forms Attached (Non- <br />Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) <br />Required For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 41,135 <br />$ <br />Previous Amount $ 2,844,266.94 <br />Current Percent of Change: 1.45% <br />New Amount $ 2,885,401.94 <br />Total Percent of Change: 9.53% <br />Dispersal After Approval <br />Copy Original