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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: July 1st, 2022 <br />Name: Finnian Cavanaugh Department of Public Works – Engineering Division <br />BPW Date: July 12th, 2022 Phone Extension: 5961 or 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. 4-7,9-15 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Indiana Department of Transportation (INDOT) <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 Coal Line Trail Phase I (CN) <br />Project Number 115-063 <br />Funding Source TIF River West Development <br />Account No. 324-10-102-121-444000--PROJ00000018 <br />Amount $29,921.77 to be paid by City <br />Terms of Contract NTE <br />Purpose/Description Change orders for construction of Coal Line Trail Phase I. Project is a <br />federal cost-share with INDOT – requesting new PO. See attached memo <br />with explanation. <br />For Change Orders Only <br />Reflecting *Total* Project Cost (Federal and Local Funds) <br />Amount of Increase <br />Decrease <br />$68,665.95 <br />($ ) <br />Previous Amount $ 1,802,596.85 <br />Current Percent of Change: <br />Increase <br />Decrease <br />4.2% <br />( %) <br /> New Amount $ 1,871,262.80 <br />Total Percent of Change: <br />Increase <br />Decrease <br />15.2% <br />( %) <br /> Time Extension Amount: None <br />New Completion Date: