HomeMy WebLinkAboutTraffic Control Device - Stop Sign at Burnett and Irelanda
Date: February 28, 2017
BOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
I hereby submit the following installation or change of traffic control devices for review:
Traffic Request Number: TR16-135
® New Installation
El 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
Location(s): Burnett Dr. at intersection with W. Ireland Road (see attached
This has been submitted:
® In response to request by a citizen/ neighbor/ passerby: Anonymous 311 Caller
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
❑ In response to an internally -generated concern from
Remarks: 3-way intersection of an industrial park street (Burnett Dr.) with minor arterial (Ireland Rd.)
Submitte P by: Recomme/nd�Approval/Denial:
(/ r
og . Nawrot, PE, PL ra . Boyles, E
DateAssistant City En ineer City ngme
�� l7 Date:
APPROVED: SOUTH BEND BOARD OF PUBLIC
WOORRKSS�//�
Gary A.
Gi ot, President (I l
�n
Suzanna M. F)Atzberg, Member
�rueller, mber
Elizabeth A. Maradik, Member
Therese J. Doran, M mbe
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
�Atte t:
'�
'—rm�a M. Martin, Clerkl
Date
1n
oC'3
N
N
Date
Name
BPW Date
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
February 21, 2017 Department
Roger Nawrot Division/Bureau
February 28, 2017
Public Works
Engineering
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 ❑
Check the Appropriate Item Type — Required for All Submissions
Agreement ❑ Contract ❑ Proposal ❑ Addendum
U Professional Services U 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
New Vendor
MBE/WBE Contractor
MBE/WBE Contractor Requested
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
❑ Yes ® No ❑ If Yes, Approved by
Purchasinq
I MBE LJ WBE
No Yes Name of Company
Burnett Dr. and Ireland Rd. Stop
TR16-135
❑ Required Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
For Chanae Orders On
Amount of H Increase $
❑ Decrease $
Previous Amount $
Current Percent of Change: %
New Amount $
Total Percent of Chance: %
Copy Original
® ❑ Roger Nawrot, Assistant City Engineer
® ❑ Ed Gleckler, Manager Bureau of Traffic & Lighting
® ❑ SBPD