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Temporary Use Agreement - 628 W. Western Ave. Proj No. 123-046 – Housing Authority of South Bend
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Temporary Use Agreement - 628 W. Western Ave. Proj No. 123-046 – Housing Authority of South Bend
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8/13/2024 2:12:33 PM
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8/13/2024 2:12:11 PM
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Board of Public Works
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Contracts
Document Date
8/13/2024
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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 08/08/2024 <br />Name Patrick Sherman Department Public Works <br />BPW Date 08/13/2024 Phone Extension 5601 <br /> <br />Review and Approval Required Prior to Submittal to Board Diversity Compliance <br />and Inclusion Officer Officer Name BPW Attorney Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name <br /> <br />Purchasing Mickey Lovy <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 Housing Authority of South Bend <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 Four Winds Field Renovation & Expansion <br />Project Number 123-046 <br />Funding Source N/A <br />Account No. N/A <br />Amount $0.00 <br />Terms of Contract Temporary Use Agreement <br />Purpose/Description This is a temporary use agreement that allows for the City’s Contractor on the <br />Four Winds Field project to use a small portion of the Housing Authority’s <br />property for staging during the project. <br />For Change Orders Only <br />Amount of <br /> <br />Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br /> % <br />( %) <br /> Time Extension Amount: <br />New Completion Date: <br />
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