HomeMy WebLinkAboutTraffic Control Device - No Parking Tow Away ZoneBOARD OF PUBLIC WORKS
Request for Approval of
pTraffic Control Device(s)
Date: February 4, 2019, Traffic Request Number: TR --
I hereby submit the following installation or change of traffic control devices for review:
_..._ ___..._.... ........................
❑ New Installation El Removal ❑Rev ision
❑ 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 El Other List
No Parking -Tow Away Zone
Location(s): On the east side of Edd Sy treet State Road 23) from E. South Street to the North 900 feet.
This has been submitted:
® In response to request by a citizen/ neighbor/ passerby: Alan Holderread, INDOT District Traffic Engineer
❑ In response to contracted reconstruction or improvements
❑ In response to developer -provided reconstruction or improvement
❑ In response to an internally -generated concern from
Remarks:: INDOT will install si
by:
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Date
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APPROVED: SOUTH BEND BOARD OF PUBLIC
WORKS
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Gary A.,Pilot„ President
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Date:
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Laura 11. OmSulliv5n, etn }rl-- Attest:
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Zetlt A. Maradik, Member li u a M. Martin, Ckrk
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Therese J. Dorau, Member Date
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
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BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date February 4, 2019
Name Roger Nawr of
Department Public Works
Division/Bureau Engineering
BPW Date February 12, 2019 Phone Extension 5932
..SIT....... _.,�.�..I�e uired 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 ❑ Michael Schmidt
Check the
Agreement
Professional Services
Bid Opening
F] Quote Opening
E] Change Order No.
Ease/Encroach.
D Other:
)ropriate Item Torte —
Contract
Resolution
El Bid Award
El Quote Award
❑ C/O & PCA No.
® Traffic Control:
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
for All Submissions
Proposal
❑ Req. to Advertise
ired Information
❑ PCA
o Parkin Tow Awav Zone
Addendum
❑ Title Sheet
East side of Eddy Street (State Road 23) from E. South _.e._.....w Street to
the North 900 feet
Reuired .. _W.....�.�........� ,....... _..._�_.....��.�....
q Contractor's Certification Forms Attached (Non -
Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.)
.,.. � .,__._.... s
euired For �ar�ge Order On
Amount of ❑ Increase
EJ Decrease $
Previous Amount $
Current Percent of Change:
New Amount
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_ _ . �. �..- .�.......m� .�...w_ m
Total Percent of Cha! e:. w ....... /0 ......
Dispersal After Approval
Copy Original
❑ ❑ Kara Boyles
El� Ro er Nawrot