Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4/15/2024 <br />Name Gemma Stanton Department PW <br />BPW Date 4/23/2024 Phone Extension 9083 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance <br />and Inclusion Officer Officer Name <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name <br />Purchasing 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. 2-3 Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name INDOT (Contractor is Selge) <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 Coal Line Trail Phase 2A <br />Project Number 115-064 DES1401811 <br />Funding Source <br />Account No. PO-0025244 <br />Amount $1,934,536.64 Total <br />Terms of Contract <br />Purpose/Description See attached memo. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$164,482.99 Total <br />($ ) <br />Previous Amount $ 1,770,053.65 <br />Current Percent of Change: <br />Increase <br />Decrease <br />9.29% <br />( %) <br /> New Amount $1,934,536.64 <br />Total Percent of Change: <br />Increase <br />Decrease <br />13.5% <br />( %) <br /> Time Extension Amount: 166 Days <br />New Completion Date: 12/31/2021