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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 12-11-2023 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 12-19-2023 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 Mickey Lovy / Ron O'Connor <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 Water Treatment Plant Improvements <br />Project Number 117-059 (PO-0000038) <br />Funding Source Southside TIF <br />Account No. 430-10-102-121-431002 <br />Amount $15,400.00 <br />Terms of Contract Lum Sum Fee (Task List included Amendment No. 3, attached) <br />Special Contract Provisions <br />Purpose/Description The Division of Engineering requests the Board of Public Works approval of <br />Amendment No. 3 to a professional services agreement with Donohue & <br />Associates for cost alternatives analysis and geotechnical engineering services <br />for the South Well Field Water Treatment Plant Improvements project. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <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 />