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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 02-27-2025 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 03-11-2025 Phone Extension: Ext. 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Michael Schmidt <br />Dept. Attorney Attorney Name Michael Schmidt <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 <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 <br />Edison Road Gravity Sewer and Roadway Replacement (East of Larrison <br />Road) <br />Project Number <br />Funding Source St. Joseph County Funding Project for Indiana Enterprise Center Buildout <br />Account No. PR/PO # <br />Amount <br />Terms of Contract <br />Special Contract Provisions <br />Purpose/Description The Department of Public Works, Division of Engineering and Division of <br />Wastewater request the Board of Public Works approval and execution of the <br />Title Sheet for the subject project. The project will be fully funded by St. <br />Joseph County to replace existing gravity sanitary sewers along Edison Road. <br />For Change Orders Only <br />Amount of 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 />Time Extension Amount: <br />New Completion Date: <br />March 11, 2025