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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 5/16/2023 <br />Name Kieran Fahey <br />Department Public <br />Works <br />BPW Date 5/23/2021 Phone Extension 5993 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name M Schmidt <br />Dept. Attorney Attorney Name M Schmidt <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. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name <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 WWTP CSO tank RFQ Guaranteed savings contract <br />Project Number 121-071 <br />Funding Source Funding applied for to IFA <br />Account No. NA <br />Amount NA <br />Terms of Contract Request to Advertise the Request for Qualifications from Providers of a <br />Guaranteed Savings Contract for construction of CSO storage tank at South <br />Bends WWTP. <br /> Purpose/Description As above <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 />May 23, 2023