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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 10-03-2022 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 10-11-2022 Phone Extension: 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <br />Purchasing Erich Haley / 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 Frost Engineering and Consulting Company <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 Potawatomi Pool Assessment <br />Project Number 122-058 (PR-00019862) <br />Funding Source Venues, Parks and Arts - Services & Charges-Other-Misc Charges & Svcs <br />Account No. PR # 00019862 (Acct: 201-11-201-201-439000) <br />Amount $28,000.00 <br />Terms of Contract Lump Sum <br />Special Contract Provisions None <br />Purpose/Description The Division of Engineering and Venues, Parks and Arts requests the Board <br />of Public Works approval of a Professional Services Agreement with Frost <br />Engineering and Consulting Company to provide a condition assessment of <br />the Kennedy Pool site for structural, mechanical, and building conditions. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br />Time Extension Amount: <br />New Completion Date: