Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 10-17-2022 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 10-25-2022 Phone Extension:9496 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <br /> <br />Purchasing Ron O'Connor / 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 Donohue & Associates (V-00000476) <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 South Well Field Improvements <br />Project Number 117-059C / PROJ# 00000082 <br />Funding Source 430-10-102-121-431002 TIF – Southside Development Area #1 <br />Account No. PO # 0000038 <br />Amount $181,995.00 <br />Terms of Contract Lump Sum (Hourly Rates, Not to Exceed) <br />Special Contract Provisions <br />Purpose/Description The Division of Engineering and Division of Utilities request the Board of <br />Public Works approval of an Amendment to a Professional Services <br />Agreement with Donohue & Associates for additional scope items including <br />bench testing, easement descriptions, and final design through bidding. Refer <br />to Memorandum and Amendment No. 2 Task Order 6 & 7 scope descriptions. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />Time Extension Amount: <br />New Completion Date: <br />