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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date May 12, 2022 <br />Name James Clay Department Waste Water <br />BPW Date May 24, 2022 Phone Extension 5790 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name <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: <br />Emergency Sewer Line Work <br /> Ease./Encroach <br />Required Information <br />Company or Vendor Name National Power Rodding Corp <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 />Project Number <br />Funding Source PO15890 <br />Account No. 641-06-605-514-439001 <br />Amount $20,000.00 <br />Terms of Contract <br />Purpose/Description _Retroactively approving an emergency purchase order for work done to <br />repair a collapse in the CSO 027/028 overflow sewer. Original PO for <br />$20,000. Also requesting approval for an increase change order of <br />$21,606.25. <br />_______________________________________________________________ <br />_______________________________________________________________ <br />__________________________________________________ <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />$21,606.25 <br />($ ) <br />Previous Amount $ $20,000.00 <br />Current Percent of Change: <br />Increase <br />Decrease <br />108% <br />( %) <br /> New Amount $ $41,606.25 <br />X