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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 08-18-2025 <br />Name: Jacob M. Klosinski Department of Public Works — Engineering Division <br />BPW Date: 08-26-2025 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 />® Other: Amendment to Prof ❑ 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 />El <br />Previous Amount <br />Information <br />Donohue & Associates (V-00000476 <br />❑ Yes[:] If Yes, Approved by Purchasing <br />❑ No <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />South Well Field Water Treatment Plant and Distribution Sys. <br />Improvements <br />117-059A (DFO PROJ00000082, PO-0000038) <br />Water Works Capital, Engineering & Architectural Services (Fund 622) <br />622-06-604-620-431002 <br />$405,000.00 <br />Hourlv Not to Exceed <br />The Division of Engineering and Division of Water recommend the approval <br />of Amendment No. 5 to a professional services agreement with Donohue & <br />Associates for additional engineering services, construction administration, <br />and application engineering services in coordination with the sub'ect project. <br />For Change Orders Only <br />Increase $ <br />Decrease ($ ) <br />Increase <br />Current Percent of Change: <br />Decrease <br />New Amount <br />$ <br />Increase <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />