Change Order No 4 - Sewer & Manhole Rehabilitation Proj No. 118-093 - Inland Water Pollution Control, Inc.

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 7/9/2021 Department Public Works Name Sue Ellen Doudrick Division/Bureau Engineering BPW Date 7/27/2021 Phone Extension 5992 Required Prior to Submittal to Board Legal Attorney Name: Clara McDaniels Controller Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing Michael Schmidt Check the Appropriate Item Type – Required for All Submissions Agreement Amendment Contract Proposal Addendum Professional Services Resolution Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Change Order No. 4 C/O & PCA No. PCA Ease/Encroach. Traffic Control: Other: Required Information Company or Vendor Name Inland Waters Pollution Control New Vendor Yes No If Yes, Approved by Purchasing MBE/WBE Contractor MBE WBE MBE/WBE Contractor Requested No Yes Name of Company Project Name Sewer and Manhole Rehabilitation Project Number 118-093 Funding Source Sewer: services & charges – other – other contractual services Account No. 641-06-602-509-439001 & 642-06-602-509-442003 Amount $ -47,474 Terms of Contract Purpose/Description Line Items Replace CIPP sewer segments 5270 and a portion of 5178 with Eco Cast sewer rehabilitation, abandon manhole 0018C0030 and deduct manhole rehabilitation, quantity change adjustment to sewer segment 5177 Required Contractor’s Certification Forms Attached (Non- Collusion, Non-Discrimination, Non-Debarment, E-Verify, Iran, etc.) Required For Change Orders Only Amount of Increase Decrease $ -47,474 Previous Amount $3,153,439.60 Current Percent of Change: -1.51% New Amount $3,105,965.60 Total Percent of Change: -0.59% Dispersal After Approval Copy Original