PSA - Disposal Agreement Setting Per Ton Tipping Fee – Republic Services of IN LP

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/1/23 Department PW/Solid Name Kelly Smith Waste BPW Date 12/12/23 Phone Extension 5795 Review and Approval Required Prior to Submittal to Board Diversity Compliance ❑ Officer Name and Inclusion Officer BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing ❑ Check the Appropriate Item I Professional Services Agreement ❑ Contract ❑ Open Market Contract ❑ Bid Opening ❑ Quote Opening ❑ Proposal Opening ❑ Chg. Order, No. n Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract ❑ Amendment/Addendum ❑ Bid Award ❑ Quote Award ❑ C/O & PCA No. ❑ Traffic Control Information is Services of Indiana All Submissions U Proposal ❑ Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes ❑ PCA ❑ Resolution Ease./Encroach Yes U If Yes, Approved by Purchasing ❑ Title Sheet ® No MBE ❑ WBE Completed E-Verify Form Attached ❑ Yes No Municipal Solid Waste/ Disposal Solid Waste Budget 610-06-603-512-43 9010 See Exibit A SCoae of Services One year waste disposal service agreement with the option to extend for two vears. Purpose/Description Agreement setting per ton tipping fee for municipal solid waste and street sweepings from the City of South Bend to the Greentech Transfer and Recycling facility operated by Republic Services. For Change Orders Only Amount of ❑ Increase $ ❑ Decrease ($ ) Previous Amount Current Percent of Change: New Amount Increase % Decrease ( %) Increase % Total Percent of Change: Decrease ( %) Time Extension Amount: