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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 3/15/2024 <br />Name: Charlie Brach Department of Public Works — Engineering Division <br />BPW Date: 3/26/24 Phone Extension: <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />❑� <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 />I-1 Other: I —I Ease./Encroach <br />Information <br />Company or Vendor Name <br />Milestone Contractors North, LLC <br />❑ Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />❑ <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ WBE ❑ Nos <br />Project Name <br />122-040A ND-DTSB Trail — Notre Dame Ave <br />Project Number <br />PROJ451 <br />Funding Source <br />Fund 456 and Fund 217 <br />Account No. <br />PR-00030830 <br />Amount <br />$5,579,902.50 <br />Terms of Contract <br />Base Bid plus Alternates <br />Special Contract Provisions <br />N/A <br />Purpose/Description Bid award for the first phase of the Notre Dame to Downtown South Bend <br />Trail Project (Notre Dame Avenue from Angela to South Bend Ave) for the <br />base bid plus all alternates. <br />For Change Orders Only <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Increase % <br />Decrease ( %) <br />Increase % <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />