Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />I.2016 <br />Jacob M. Klosinski <br />Department Division of Utilities <br />BPW Date July 12, 2016 Phone Extension (574) 235-9496 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ® Carol Kurzhal <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum <br />❑ Professional Services ❑ Resolution <br />❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑ Quote Award <br />® Change Order No. 018 ❑ C/O & PCA No. ❑ PCA <br />❑ Ease/Encroach. ❑ Traffic Control <br />n Other: <br />Company or <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Grand River Construction, Inc. <br />Yes N No LJ If Yes, Approved by Purchasing <br />MBE ❑ WBE <br />WWTP - Digester No. 2 Upgrade and Digester Gas Cleaning <br />111-029 <br />2011 Sewer Bond and 2012 Sewer Bond <br />659-0630-415-42-06 and 661-0630-415-42-06 <br />Division of Utilities recommends the approval of Change Order No. 18 for <br />the subject project. This is the Final Change Order for this project and <br />memorializes the agreement with Grand River Construction to incur a <br />deductive backcharge of $50,000. Refer to Inter -Office Memorandum. <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) <br />Amount of L� Increase <br />® Decrease <br />Previous Amount $ <br />Current Percent of Change: -0 <br />New Amount <br />Total Percent of Change <br />Copy <br />Original <br />® <br />❑ Al Greek <br />® <br />❑ Jacob M. <br />® <br />❑ Carol Ku <br />Q1] <br />$ 5,930,037.00 <br />+5.92% <br />Dispersal After Approval <br />Division Director of Utilities <br />Closinski, Assistant City Eng; <br />Thal, Director of Financial Se <br />