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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 19, 2021 <br />Name Leslie Biek, PE Department PW <br />BPW Date May 11, 2021 Phone Extension <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <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. 2-5 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name INDOT (Contractor is Milestone) <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 Olive St Reconstruction Ph 1 <br />Project Number 114-064 <br />Funding Source River West TIF <br />Account No. 324-442001 <br />Amount $55,003.04 Total (Local $11,000.61) <br />Terms of Contract <br />Purpose/Description These change orders are 80% federally participating. The change orders are <br />for the addition of Luminaires to the bid items, concrete coring, stockpiling <br />material, and pipe unit const increase for stockpiled materials. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 55,003.04 (Local share is $11,000.61) <br />($ ) <br />Previous Amount $ 3,338,539.41 <br />Current Percent of Change: <br />Increase <br />Decrease <br />0% <br />( %) <br /> New Amount $ 3,393,542.45 <br />Total Percent of Change: <br />Increase <br />Decrease <br />1.65% <br />( %) <br />Time Extension Amount: <br />New Completion Date: