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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 07/31/2025 <br />Name Zach Hurst <br />Department DPW <br />BPW Date 08/12/2025 <br />Phone Extension 3057 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />and Inclusion Officer <br />Officer Name <br />BPW Attorney ❑ <br />Attorney Name <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑ <br />Check the Appropriate <br />Item Type <br />— Re uired or All Submissions <br />❑ Professional Services Agreement <br />❑ Open Market Contract <br />❑ Bid Opening <br />❑ Quote Opening <br />❑ Proposal Opening <br />❑ Chg. Order, No. <br />❑ Other: <br />❑ Contract ❑ Proposal <br />❑ Amendment/Addendum ❑ Special Purchase, QPA <br />❑ Bid Award ® Req. to Advertise ® Title Sheet <br />❑ Quote Award ❑ Reject Bids/Quotes <br />❑ C/O & PCA No. ❑ PCA <br />❑ Traffic Control ❑ Resolution <br />❑ Ease./Encroach <br />Reauired Information <br />Company or Vendor Name <br />❑ Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />❑ No <br />Yes <br />MBE <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ ❑ No <br />Project Name <br />Demolition of Rabbi Shulman Apartments <br />Project Number <br />123-048 <br />Funding Source <br />River West DA TIF <br />Account No. <br />PR-00042469 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Request to advertise for bids to demolish the former Rabbi Shulman <br />Apartments at 628 W. Western Avenue. <br />For Change Orders Onl <br />Amount of ❑ Increase CITY OF SOUTH BEND, INDIANA <br />❑ Decrease BOARD OF PUBLIC WORKS <br />Previous Amount $ t1a a <br />Current Percent of Change <br />New Amount <br />Ini <br />Df Elizabeth A. Maradik, President <br />$� a <br />Tn <br />Total Percent of Change: Df Gary A. Gilot, Member <br />Time Extension Amount: po"�' .4 7'" ` <br />New Completion Date: Murray L. Miller, Member <br />Joseph R. Molnar, Vice President <br />Breana Micou, Member <br />Attest: Hillary R. Horvath, Clerk <br />Date: eugust1� 5 <br />