HomeMy WebLinkAboutRequest to Advertise - Fire Stations No 3 and 6 Renovations Project No 118-047BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date Au ust 20 2019
Name Alicia Czarnecki Department Ensineerins
BPW Date Au ust 27 2019 Phone Extension 5903
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Rtl Prior to Submittal to Board
BPW Attorney ❑ Attorney Name
Dept. Attorney
Purchasing
❑ Attorney Name
10
Professional Services Agreement (❑ Contract
Open Market Contract ❑ Amendment/Addendum
Bid Opening R Bid Award
❑ Quote Opening El Quote Award
�] Proposal Opening R C/O & PCA No.
Chg. Order, No. ❑ Traffic Control
El Other:
Reauired Informati
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Amount of
Previous Amount
l Submissions
LJ Proposal
❑ Special Purchase, QPA
® Req. to Advertise
Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
11
u' Title Sheet
-❑ Yes❑ If Yes, Approved by PurchasingWWWWWWWWW—' mm
No
E] MBE MBE Completed E-Verify Form Attached Nos
Fire Stations 3 & 6 Renovations
118-047
FIRE CAPITAL IMPROVEMENTS / BUILDING IMPROVEMENT
...................................... _.........................................._..._.............�.
287-0902-422.42-02
South Bend Fire Stations 3 and 6 Renovations
�] Increase $
Decrease ($
Current Percent of Change:
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase
%
Decrease
_...........�. _w
�w
Increase
_ ............. 6
%
Decrease
( %)