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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 2/6/24 <br />Name Scott Kreeger <br />Department Public <br />Works <br />BPW Date 2/13/24 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name <br />Purchasing 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. 27 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Indiana Department of Transportation <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 Michigan Street Repaving <br />Project Number 123-066 (DFO Proj 420) PO-26258 <br />Funding Source Southside Development TIF <br />Account No. 430-10-102-121-442001 <br />Amount <br />Terms of Contract <br />Purpose/Description _As part of the INDOT contract agreement for the mill & overlay of <br />Michigan, the final change order processed through INDOT includes a deduct <br />to the City’s portions. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ 21,755.80) <br />Previous Amount $ 978,170.66 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br /> New Amount $ 956,414.86 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />( %) <br />Time Extension Amount: <br />New Completion Date: