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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 08-05-2025 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 08-12-2025 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 Administration Office Rehabilitation <br />124-037 / PROJ-00000559 <br />Sewage Works Operations — Wastewater, Fund 641-06-605-514-439001 <br />PR/PO # <br />Lumn Sum + Owner Directed Allowance <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 work involves constructing partition walls in the <br />front office space of the WWTP Administration Building to provide three <br />offices. HVAC. liahtina. electrical. and communication work. <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 />