HomeMy WebLinkAboutTraffic Control Device - Handicapped Space in front of 2402 Mishawaka AvenueBOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
Date: December 16, 2016_
I hereby submit the following installation or change of traffic control devices for review:
Traffic Request Number: TR 16-143
® New Installation
❑ Removal
❑ Revision
❑ Stop Sign
❑ Stop Sign
❑ Stop Sign
❑ Yield Sign
❑Yield Sign
❑ Yield Sign
❑ Speed Limit, mph
❑ Speed Limit, mph
❑ Speed Limit, _mph
® Other, List
❑ Other, List
❑ Other, List
Handicap Parking
Location(s): One space in front of 2402 Mishawaka Ave. (Leather Banana). See attached drawing.
This has been submitted:
® In response to request by a citizen/ neighbor/ passerby: Mike Lippert (574)-254-0517
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
❑ In response to an internally -generated concern from
Remarks:
Subifte �osed by Recommend Approval:
l4ger T. Nawrot, PE, PLS Yara . Boyles, P , P
Assistant City Engineer Interi .City Engineer
Date: Date:
APPROVED: SOUTH BEND BOARD OF PUBLIC
WORKS� �A-Zk
Gary A. Gilot, President
Suzanna M. Frrittzzbberg, Member
Jamf A. Mueller, Member
Elizabeth
AMaaradik, Member
Therese J. Dorau,jMembW
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
Attest:
�I-iffda M. Martin, Clerk
Date
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date December 16, 2016
Department Public Works
Name Roger Nawrot Division/Bureau Engineering
BPW Date December 22, 2016 Phone Extension 5933
Required Prior to Submittal to Board
Legal ❑ Attorney Name:
Controller El greater
review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
❑
Agreement LJ Contract LJ Proposal U Addendum
❑
Professional Services ❑ Resolution
❑
Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet
❑
Quote Opening ❑ Quote Award
❑
Change Order No. ❑ C/O & PCA No. ❑ PCA
❑
Ease/Encroach. ® Traffic Control:
F]
Other:
Company or Vendor Name
New Vendor
MBEIWBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Increase
Decrease
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chanqe:
Copy
Original
®
❑
LJ Yes N No LJ If Yes, Approved by
LJ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
ler Nawrot, Assistant
Ed Gleckler, Manager Bureau of Traffic & Lighting
SBPD