Emergency Sewer Repair Work - Emergency Sewer Work due to Existing 36” Sewer Main Deterioration & Manhole Replacement

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date November 13, 2020 Name Leslie Biek, PE Department PW BPW Date 11/24/2020 Phone Extension Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ® Ron O'Connor 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 N Other: Emergenev Work ❑ Ease./Encroach Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information HRP Construction ❑ Yes ❑ If Yes, Approved by Purchasing ® No E] MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Nos Corby, Ironwood and Rockne Intersection Project 116-034 Services and Charges- Other- Other Contractual Services 641-06-602-509-439001 PO 2249 $308,124.70 Emergency Sewer work due to existing 36" sewer main deterioration and manhole replacement after a sinkhole was discovered. Ibb For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change: New Amount Total Percent of Change: Time Extension Amount: New Completion Date: Increase % Decrease ( %) Increase % Decrease ( %)