HomeMy WebLinkAboutTraffic Control Device - Street Name Changes - Dr Martin Luther King Drive and Charles Martin Senior DriveDate: January 17, 2017
BOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
Traffic Request Number: TR
I hereby submit the following installation or change of traffic control devices for review:
❑ New Installation
❑ Removal
® Revision
El Stop Sign
❑ Stop Sign
❑ Stop Sign
❑ Yield Sign
❑Yield Sign
❑ Yield Sign
❑ Speed Limit, _mph
❑ Speed Limit, _mph
❑ Speed Limit,
❑ Other, List
❑ Other, List
_mph
❑ Other, List
Street Name Change
Location(s): Dr. Martin Luther King Jr. Drive between Washington Street and Lincolnway West to Charles Martin Senior Drive
This has been submitted:
❑ In response to request by a citizen/ neighbor/ passerby:
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
® In response to an internally -generated concern from Mayor Pete Buttigieg
Remarks:
& osed b .
er T. Nawrot, PE, PLS
Assistant City Engineer -
Date: %�f 7 //7
APPROVED: SOUTH BEND BOARD OF PUBLIC
WORKS
Gary A. Gilot,
David P. Relos, Member
Q 4 1'\.
Jam A. Mueller, Member
O
Elizabeth A. Maradik, Member
Therese L Doha, Member
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
Recommend Approval/Denial:
JAttes .
-Einda M. Martin, Clerk
� /
Date
BOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
Date: January 17, 2017 Traffic Request Number: TR
I hereby submit the following installation or change of traffic control devices for review:
Installation
Removal®
Revisionop
Sign
❑ Stop Sign
❑ Stop Sign
Few
ield Sign
❑Yield Sign
❑ Yield Sign
eed Limit, mph
ther, List
❑ Speed Limit, _mph
❑ Other, List
❑ Speed Limit, _mph
® Other, List
Street Name Change
Location(s): St. Joseph Street between Western Avenue and Marion Street to Dr. Martin Luther King unior Boulevard
This has been submitted:
❑ In response to request by a citizen/ neighbor/ passerby:
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
® In response to an internally -generated concern from Mayor Pete Buttigieg
Remarks:
Sub Itte Pro used b
_
Ro' er T. Nawrot, PE, PLS
Assistant/City EngineeeJ
Date:
APPROVED: SOUTH BEND BOARD OF PUBLIC
WORKS
Gary A. Gilot,
David P. Relos, Member
L �.
James . Mueller, ember
E izabeth A. Maradik, Member
Therese J. Doran, Ivlenitier
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
Recommend Approval/Denial:
"Boyles,
Date: I! li-r! a
Attesg:
'ZL da M. Martin, Clerk
/ '�_V 1)_0t7
Date
Date
Name
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
01 /17/2017
Roger Nawrot
Department Engineering
Division/Bureau Public Works
BPW Date 01/24/2017 Phone Extension
I Required Prior to Submittal to Board
Legal
Attorney Name:
Controller ❑
Controller review is required for all Contracts $5,000.00 or more and
greater than one year in length per the City Purchasing Policy
Purchasing ❑
Check the Appropriate Item Type — Required for AN Submissions
❑
Agreement Amendment
❑ Contract ❑ Proposal ❑ 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: Street Name Changes
❑
Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Increase
Previous Amount
Current Percent of Change:
New Amount
Total Percent of Chance:
Copy
Original
❑
❑
❑
❑
0
❑
Information
❑ Yes ❑ No ❑ If Yes, Approved by
Purchasina
MBE LJ W
No ❑ Yes
St. Joseph Street from Western Avenue to Marion Street to Dr.
Martin Luther King, Junior Boulevard.
Dr. Martin Luther King, Jr. Drive to Charles Martin, Senior Drive.
LJ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
For Change Orders