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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: November 17, 2021 <br />Name: Finnian Cavanaugh Department of Public Works – Engineering Division <br />BPW Date: December 14, 2021 <br />Phone Extension: 5961 or <br />fcavanau@southbendin.gov <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Clara McDaniels <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. 1 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Northern Indiana Construction Company Inc. <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 Guardrail Repair and Installation <br />Project Number 118-084 <br />Funding Source PO-0006554 <br />Account No. <br />251-06-600-506-436008—PROJ00000221 ($18,769.80) <br />667-06-600-506-442002—PROJ00000221 ($26,291.78) <br />Amount $45,061.58 addition ($349,306.78 new total) <br />Terms of Contract NTE <br />Purpose/Description Deduct from base bid -$41,661.42, add guardrail replacement at <br />additional locations +$86,724.00, for net addition to contract of <br />+$45,061.58. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ 45,061.58 <br />($ ) <br />Previous Amount $ 304,245.20 <br />Current Percent of Change: <br />Increase <br />Decrease <br />14.81% <br />( %) <br /> New Amount $ 349,306.78 <br />Total Percent of Change: <br />Increase <br />Decrease <br />14.81% <br />( %) <br /> Time Extension Amount: 213 days <br />New Completion Date: 12/31/2021