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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 07-15-2024 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 07-23-2024 Phone Extension: 9496 <br /> <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <br /> <br />Purchasing Mickey Lovy / 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 /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Donohue & Associates, Inc. (V-00000476) <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 Fellows Booster Pump Station <br />Project Number 121-070 / PROJ00000032 / PO-0012147 <br />Funding Source <br />Indiana Finance Authority State Revolving Loan Fund & TIF – Southside <br />Development #1 <br />Account No. 430-10-102-121-431002 <br />Amount $318,900.00 (Orig. + Amend. 1) + $419,500.00 Amend. 2 = $738,400.00 <br />Terms of Contract Hourly, Not to Exceed <br />Special Contract Provisions <br />Purpose/Description Engineering and Water Works request the Board of Public Works approval of <br />Amendment No. 2 to a Professional Services Agreement with Donohue & <br />Associates for Construction Administration Services for Project No. 121-070 <br />Fellows Booster Pump Station. Construction Administration Services will be <br />funded through the Indiana Finance Authority State Revolving Loan Fund. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />Time Extension Amount: <br />New Completion Date: