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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/26/2021 <br />Name Alicia Pellegrino Department Engineering/Fire <br />BPW Date 03/09/2021 Phone Extension 5903 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <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. 5 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Gibson-Lewis, LLC <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 Fire Stations 3 & 6 Renovations <br />Project Number 118-047 <br />Funding Source Fire Department Capital <br />Account No. 287-09-090-098-443001--PROJ00000034 <br />Amount <br />Terms of Contract <br />Purpose/Description South Bend Fire Stations 3 and 6 Renovations. <br />_______________________________________________________ <br />For Change Orders Only <br />Amount of Increase <br />Decrease $ 5,050.00 <br />Previous Amount $ 1,008,685.00 <br />Current Percent of Change: <br />Increase <br />Decrease -0.05% <br />New Amount $ 1,003,635.00 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />-10.39% <br />Time Extension Amount: <br />New Completion Date: