Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 11, 2020 <br />Name Jacob M. Klosinski <br />Department <br />Engineering/Utilities <br />BPW Date December 17, 2020 Phone Extension Ext. 9496 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name Michael Patton <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Clara McDaniels <br />Purchasing Michael Schmidt <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 <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 <br />Amendment No. 1 to Resolution No. 19-2016; Amendment to Water <br />Service and Sewer Service Agreement with Pokagon Band of Potawatomi <br />Indians (the “Band”) and the Pokagon Gaming Authority (PGA) <br />Project Number <br />Funding Source <br />Account No. <br />Amount Refer to Easement Agreement regarding contributions and payment terms <br />Terms of Contract Refer to Easement Agreement regarding terms and conditions <br />Purpose/Description Public Works requests the approval of the subject Amendment No. 1 to a an <br />existing Water Service and Sewer Service Agreement which further defines <br />the obligations of the City, the Band and PGA under the water service and <br />sewer service agreement with respect to the Full Build-Out Phase of the Four <br />Winds South Bend Casino. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />New Amount $ <br />Total Percent of Change: Increase %