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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 05-28-2024 <br />Name: Jacob M. Klosinski <br />Department of Public Works — Engineering Division <br />BPW Date: 06-11-2024 <br />Phone Extension: 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X <br />Attorney Name Michael Schmidt <br />Dept. Attorney ® <br />Attorney Name Michael Schmidt <br />Purchasing ® <br />Mickey Low / Ron O'Connor <br />Check the Appropriate <br />Item Type — Re uired or 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 Selge Construction Company, Inc. (Niles, Michigan) <br />New Vendor ❑ Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor ❑ MBE Completed E-Verify Form Attached ❑ Yes <br />❑ WBE ❑ No <br />Project Name Fellows Booster Pump Station — Contract B (Yard Piping and Installation) <br />Project Number 121-070B / PROJ00000032 <br />Funding Source State Revolving Fund & Water Capital Fund 622 <br />Account No. * Indiana Finance Authority — State Revolving Fund Bond <br />Amount $3,724,000.00 <br />Terms of Contract BASE BID (Lump Sum and Allowances) <br />Special Contract Provisions Indiana Finance Authority Special Provisions and MWBE Goals <br />Purpose/Description Public Works, the Division of Engineering and Division of Water Works <br />recommends the Board of Public Works award the Project No. 121-070B <br />Fellows Booster Pump Station — Contract B (Yard Piping and Installation) to <br />Selge Construction Company, Inc. (Niles, Michigan) as the lowest, <br />responsive, and responsible bidder. <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 />