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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 8/ 19/2025 <br />Name: Gemma Stanton Department of Public Works - Engineering Division <br />BPW Date: <br />8/26/2025 Phone Extension: 9083 <br />Required Prior to Submittal to Board <br />BPW Attorney X <br />Attorney Name <br />Dept. Attorney ❑ <br />Attorney Name <br />Purchasing ❑ <br />Check the Appropriate <br />Item Type - Re uired or All Submissions <br />❑ Professional Services Agreement ❑ Contract <br />❑ Proposal <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />® Reject Bids/Quotes <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />❑ PCA <br />❑ Chg. Order, No. <br />❑ Traffic Control <br />❑ Resolution <br />❑ Other: <br />❑ Ease./Encroach <br />Reauired Information <br />Company or Vendor Name <br />❑ Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />❑ No <br />MBE ❑ <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ ❑ Nos <br />Project Name <br />The Pointe at Riverwalk Building Concrete <br />Project Number <br />124-069 <br />Funding Source <br />River East TIF <br />Account No. <br />PR-42529 <br />Amount <br />Terms of Contract <br />Unit Price <br />Special Contract Provisions <br />Purpose/Description <br />Reject quotes <br />CITY OF SOUTH BEND, INDIANA <br />_ <br />❑ <br />BOARD OF PUBLIC WORKS <br />Amount of ❑ <br />103k <br />"'/�-Z P1 <br />Previous Amount <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President <br />Current Percent of Change: <br />a <br />New Amount <br />Gary A. Gilot, Member <br />Breana Micou, Member <br />Total Percent of Change: <br />�L`�`' <br />#Oche-' <br />Time Extension Amount: <br />New Completion Date: <br />Murray L. Miller, Member <br />Attest: Hillary R. Horvath, Clerk <br />Date: 8/26/2025 <br />