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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 04-15-2025 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 04-22-2025 Phone Extension: <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 Low / 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 />n Other: n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Special Contract Provisions <br />Purpose/Description <br />Amount of <br />Previous Amount <br />Information <br />U YesU If Yes, Approved by Purchasing <br />❑ No <br />❑❑ WBE Completed E-Verify Form Attached ❑❑ Nos <br />South Well Field, Water Treatment Plant, and Distribution System <br />Improvements <br />117-059A / DFO PROJ00000082 <br />Southside TIF and Water Capital Fund <br />PR/PO # <br />The Division of Engineering and Division of Water request the Board of <br />Public Works open Public Bids for the subject project at the 04-22-2025 <br />Board Meeting. The Board will receive bids for Bid Package #1 and Bid <br />Package #2. Refer to Inter -Office Memorandum for nroiect details. <br />❑ Increase <br />❑ Decrease <br />Current Percent of Change <br />New Amount <br />For Change Orders <br />Increase <br />Decrease <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />