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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: June 15, 2021 <br />Name: Finnian Cavanaugh Department of Public Works – Engineering Division <br />BPW Date: June 22, 2021 <br />Phone Extension: 5961 or <br />fcavanau@southbendin.gov <br /> <br />Required Prior to Submittal to Board BPW Attorney X Attorney Name Clara McDaniels <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: Ease./Encroach <br />Required Information <br />Company or Vendor Name Asphalt Restoration Services 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 2021 Crack Sealing <br />Project Number 121-020 <br />Funding Source 2021 Infrastructure Bond <br />Account No. PR-00008875 (455-06-600-506-442001—) <br />Amount $103,500.00 <br />Terms of Contract NTE <br />Purpose/Description Recommendation to award open-market contract to Asphalt <br />Restoration Services LLC. Authorization to pursue open-market <br />procurement was given at June 8th BPW meeting. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />