Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 12-02-2022 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 12-13-2022 Phone Extension: 9496 <br /> <br />Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <br /> <br />Purchasing Michael Schmidt / Mickey Lovy <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: Ratify Contracted <br />Emergency Work <br /> Ease./Encroach <br />Required Information <br />Company or Vendor Name HRP Construction, Inc. (V-00000775) <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 Emergency Repair –Edison Rd and Edgewater Rd Sanitary Sewer Repair <br />Project Number PR-00020706 <br />Funding Source Sewage Works Operations – Other Contractual Services <br />Account No. 641-06-605-514-439001 <br />Amount Final Cost: $19,066.25 <br />Terms of Contract Lump Sum (T&M) <br />Special Contract Provisions <br />Purpose/Description City Engineering, Utilities (Wastewater) and Streets/Sewer, contracted HRP <br />Construction to provide emergency repairs at Edison Road and Edgewater <br />Road after a sanitary gravity sewer collapse. See Memorandum for description <br />of services. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <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 /> Time Extension Amount: <br />New Completion Date: <br />