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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: December 5, 2023 <br />Name: Leslie Biek, PE Department of Public Works — Engineering Division <br />BPW Date: December 12, 2023 Phone Extension: 9323 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />I Check the Annronriate Item Tvne — Reauired for All Submissions I <br />U Professional Services Agreement U Contract U Proposal <br />❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Opening ❑ Bid Award X 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 />n Other: n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />uired Information <br />U Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />F] MBE ❑ WBE Completed E-Verify Form Attached El Yes <br />❑ No <br />CoSB Wayfinding Signage Program PH III <br />123-013; PROJ 400 <br />PR-28908 <br />101-439300 <br />Open bids for the City of South Bend Wayfinding Signage <br />Program Ph III <br />Iff For Change Orders Only <br />Amount of <br />❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />