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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 06-15-2025 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 06-22-2025 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 Low / Ashley Rzepka <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 />Wastewater Treatment Plant Digital Twin Sensors Installation <br />124-036 / PROJ-00000560 <br />Sewage Works Capital — Wastewater, Fund 642-06-605-514-431002 <br />PR/PO # <br />Lump Sum + Allowance (for Instrumentation and Controls Integration) <br />Division of Engineering and Division of Wastewater request the Board of <br />Public Works receive and open public quotations for the subject project at its <br />meeting on 07/22/2025. The works involves the installation of conduit, <br />conduit supports, instrumentation and power cables at the Wastewater <br />Treatment Plant Aeration Basins. Chlorine Contact Chamber and Clarifiers. <br />❑ Increase <br />❑ Decrease <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />For Change Orders <br />Increase <br />Decrease <br />Increase % <br />Decrease ( % <br />New Completion Date: <br />