HomeMy WebLinkAboutTraffic Control Device - Handicapped Sign at 201 S William StBOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
Date: February 14, 2017
I hereby submit the following installation or change of traffic control devices for review:
Traffic Request Number: TR17-002
® New Installation
❑ Removal
❑ Revision
❑ 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
Handicap Parking
Location(s): One space in front of Quality Care Pharmacy at 201 S William St. (See attached drawing)
This has been submitted:
® In response to request by a citizen/ neighbor/ passerby: Steve Scheinost (734) 883-0785
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
❑ In response to an internally -generated concern from
Remarks:
Assist of Northern Indiana
City Engineer
Date:
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APPROVED: SOUTH BEND BOARD OF PUBLIC
WORKS
Gait' A. Gilot, President
David P. Relos, Member
Jaingbf A Mueller, Member
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Elizabeth A. Maradik, Member
Therese J. DoMu, MeWber
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
Recommend Approval/Denial:
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date February 7, 2017 Department Public Works
Name Roger Nawrot Division/Bureau Engineering
BPW Date February 14, 2017 Phone Extension 5933
Required Prior to Submittal to Board
Legal
❑ Attorney Name:
Controller
review is required for all Contracts $5,000.00 or more and
El
greater
greater than one year in length per the City Purchasing Policy
Purchasing
❑
Check the Appropriate Item Type — Required for All Submissions
❑ Agreement
❑ 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:
❑ Other:
Required Information
Company or Vendor Name
❑ Yes ® No ❑ If Yes, Approved by
New Vendor
Purchasing
MBE/WBE Contractor
❑ MBE ❑ WBE
MBE/WBE Contractor
Requested ❑ No ❑ Yes Name of Company
Project Name
201 William St. Handicap Parking
Project Number
TR17-002
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
Required For Change Orders Only
Amount of ❑
❑
Increase $
Decrease $
Previous Amount
$
Current Percent of Change: %
New Amount
$
Total Percent of Change:
%
Dispersal After Approval
Copy Original
® ❑
Roger Nawrot, Assistant City Engineer
® ❑
Ed Gleckler, Manager Bureau of Traffic & Lighting
® ❑
SBPD