Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 05-28-2024 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 06-11-2024 Phone Extension: 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney ® Attorney Name <br />Michael Schmidt <br />Purchasing ® Mickey Low / 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 />n Other: n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Special Contract Provisions <br />Purpose/Description <br />Amount of <br />Previous Amount <br />Information <br />❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />❑❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />Grand Trunk Western Railroad Water Main Replacement at Greenlawn <br />Avenue and S. 30th Street <br />122-041 (PROJ00000354) <br />Water Works, Capital (Fund 622 — 442007 Infrastructure Mains) <br />642-06-605-514-442005 <br />Unit Prices <br />The Division of Engineering and Division of Water requests the Board of <br />Public Works receive and open Public Bids at its Regular Meeting on June 11 <br />2024, for Project No. 122-041 Grand Trunk Western Railroad Water Main <br />Replacement at Greenlawn Avenue and S. 30th Street. <br />❑ Increase <br />❑ Decrease <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />For Change Orders <br />Increase <br />Decrease <br />Increase % <br />Decrease ( % <br />New Completion Date: <br />