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Bureau of Indian Affairs ROW Application - Additional Utility Easement – US Dept. of Interior Bureau of IN Affairs
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Bureau of Indian Affairs ROW Application - Additional Utility Easement – US Dept. of Interior Bureau of IN Affairs
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3/22/2022 4:14:45 PM
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3/22/2022 4:14:28 PM
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Board of Public Works
Document Type
Contracts
Document Date
3/22/2022
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/15/2022 <br />Name Sue Ellen Doudrick Department DPW <br />BPW Date 3/22/2022 Phone Extension 5922 <br /> <br />Review and Approval Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name BPW Attorney Attorney Name <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 <br />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: BIA Right of Way <br />Agreement <br /> Ease./Encroach <br />Required Information <br />Company or Vendor Name US Department of Interior Bureau of Indiana Affairs <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 Prairie Avenue Water Main Extension by Star 001 <br />Project Number DP 18-025 <br />Funding Source n/a <br />Account No. n/a <br />Amount n/a <br />Terms of Contract ROW Agreement with BIA <br />Purpose/Description The purpose of the BIA Right of Way Application is to acquire the <br />additional utility easement on the Pokagon Band’s property that is required <br />as part of the water main extension from the Band’s property on Prairie <br />Avenue to the Star 001 development. The easement was required as part of <br />the 4-party Easement Agreement approved at the board on 12/17/2020. <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 />
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