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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/15/2025 <br />Name Ken Smith Department Water <br />BPW Date 11 /20/2025 Phone Extension 6108 <br />Review and Approval Required Prior to Submittal to Board <br />Diversity Compliance ❑ <br />Officer Name <br />and Inclusion Officer <br />BPW Attorney <br />® Attorney Name <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ® Mickey Lovy <br />Michael Schmidt <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: ❑ 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 />Purpose/Description <br />Information <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />❑ No <br />❑ WBE Completed E-Verify Form Attached ❑❑ Neos <br />Water Works Utility Service Line Repair Program <br />Water Utility <br />620-06-604-606-43 9015 <br />Water Works Utility is soliciting applications from qualified vendors to participate <br />in its Service Line Repair Program at the rates herein for the 2026 calendar year. <br />For Change Orders Onl <br />Amount of ❑ <br />Increase $ <br />CITY OF SOUTH BEND, INDIANA <br />— <br />❑ <br />Decrease A <br />BOARD OF PUBLIC WORKS <br />Previous Amount <br />$ <br />-�,4,1.a <br />Z — <br />Increase <br />Current Percent of Change: <br />Decrease <br />Elizabeth A. Maradik, President <br />Joseph R. Molnar, Vice President — <br />New Amount <br />$ <br />Increase Gary A. Gilot, Member <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />Murray L. Miller, Member <br />Breana Micou, Member <br />$A� f 40 - - <br />Attest: Hillary R. Horvath, Clerk <br />Date: November 25, 2025 <br />