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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/04/2024 <br />Name Zach Hurst Department DPW <br />BPW Date 11/12/2024 Phone Extension 3057 <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 <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. 1 [F] Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name Indiana Earth <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 Drewry’s Brewery Cleanup, Phase I – Outbuildings and Demolition Debris <br />Project Number 119-031C <br />Funding Source ARP Funding <br />Account No. PO-00030582 <br />Amount This change: ($42,572.17); Revised amount: $447,827.83 <br />Terms of Contract <br />Purpose/Description This final change order adds payment for palletizing loose brick and removing <br />tires, and deducts the price of Alternate 1 (not used) and the remainder of <br />unused environmental allowance. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ 42,572.17) <br />Previous Amount $ 490,400 <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(8.68%) <br /> New Amount $ 447,827.83 <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(8.68%) <br /> Time Extension Amount: 38 days <br />New Completion Date: 9/9/2024