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HomeMy WebLinkAboutAward Quote - 2020 Lamppost Program - Gama Sonic USA, Inc. P HONE 574/ 235-9251 1316 C OUNTY-C ITY B UILDING F AX 574/ 235-9171 227 W. J EFFERSON B OULEVARD S OUTH B END,I NDIANA 46601-1830 C ITY OF S OUTH B END J AMES M UELLER,M AYOR B OARD OF P UBLIC W ORKS April 28, 2020 Mr. Matt Cohen Gama Sonic USA Solar Lighting, Inc. 6185 Jimmy Carter Blvd., Suite F Norcross, GA 30071 matt@gamasonic.com Dear Mr. Cohen: The Board of Public Works at its meeting held on April 28, 2020, awarded the above referenced quotation to you in the amount of $49,497.30. A representative from the Engineering Department will be in contact with you regarding this award. If you have any further questions regarding this matter, please call this office at (574) 235- 9251. Sincerely, s/Linda M. Martin, Clerk Enclosure G ARY A. G ILOT E LIZABETH A. M ARADIK T HERESE J. D ORAU J ORDAN V. G ATHERS J OSEPH R. M OLNAR INTER-OFFICE MEMORANDUM DEPARTMENT OF PUBLIC WORKS DIVISION OF ENGINEERING TO: Linda M. Martin, Clerk Board of Public Works FROM:Alicia Czarnecki SUBJECT:Award Project No.120-007 Project Name:2020Lamppost Program DATE: April 21, 2020 On April 14, 2020,the Board of Public Worksopened and read quotesfor the above project. The quotesranked as follows: BidderTotal Amount 1.Gama Sonic USA, Inc.$49,497.30 All quoteswere correct as read. I recommend award of a contract for2020Lamppost Programtothe lowest responsive / responsible bidder,Gama Sonic USA, Inc.,in the amountof$49,497.30. Award of contract is subject to sufficient fundingappropriatedfrom COIT/404-0602-431.22-40. Please call with your questions. CITY OF SOUTH BEND, INDIANA QUOTEFOR SALE OR LEASE OF MATERIALS AND NON-COLLUSION AND NON DEBARMENT AFFIDAVIT AND NON-DISCRIMINATION COMMITMENT FOR SELLERS QUOTENAME 120-0072020 Lamppost Program April 14, 2020 at 9:30am Local Timesee Instructions to Bidders for electronic bid FOR QUOTES DUE submission information April 3rd, 2020 Date:Firm:Gama Sonic USA Solar Lighting, Inc. 6185 Jimmy Carter Blvd, Suite F Address: (727-688-5030 please use this #) Norcross, GA. 30071 678-736-8303 x 104 City/State/Zip:Telephone Number:() Matt Cohen- Director, Commercial Sales Agent of Firm(if Applicable): When the prospective Contractor is unable to certify to any of the statements below, it shall attach an explanation to this Affidavit. NON-COLLUSIONANDNON-DEBARMENT AFFIDAVIT, CERTIFICATION REGARDING INVESTMENT WITH IRAN,EMPLOYMENT ELIGIBILITY VERIFICATION, NON-DISCRIMINATION COMMITMENTAND CERTIFICATION OF USE OF UNITED STATES STEEL PRODUCTS OR FOUNDRY PRODUCTS (Must be completed for all quotes and bids. Please type or print) Georgia STATE OF ___________) ) SS: Gwinnett COUNTY) The undersigned Contractor, being duly sworn upon his/her/its oath, affirms under the penalties of perjury that: 1.Contractorhas not, nor has any other member, representative, or agent of the firm, company, corporation or partnership represented by him, entered into any combination, collusion or agreement with any person relative to the price to be bid by anyone at such letting nor to prevent any person from bidding nor to induceanyone to refrain from bidding, and that this bid is made without reference to any other bid and without any agreement, understanding or combination with any other person in reference to such bidding. Contractorfurther says that no person or persons, firms, or corporation has, have or will receive directly or indirectly, any rebate, fee, gift, commission or thing of value on account of such sale; and 2.Contractorcertifies by submission of this proposal that neither contractor norany ofits principals are presently debarred, suspended, proposed for debarment, declared ineligible, or voluntarily excluded from participation in this transaction byany Federal department or agency; and 3.Contractor has not, nor has any successor to, nor an affiliate of, Contractor, engaged in investment activities in Iran. Version 802/25/14 a. or instrumentality of Iran, or as otherwise defined at Ind. Code § 5-22-16.5-5, as amended from time-to-time. b.As provided by Ind. Code § 5-22-16.5-8, as amended from time-to-time, a Contractor is engaged in investment activities in Iran if either: i.Contractor, its successor or its affiliate, provides goods or services of twenty million dollars ($20,000,000) or more in value in the energy sector of Iran; or ii.Contractor, its successor or its affiliate, is a financial institution that extends twenty million dollars ($20,000,000) or more in credit to another person for forty-five (45) days or more, if that person will (i) use the credit to provides goods and services in the energy sector in Iran; and (ii) at the time the financial institution extends credit, is a person identified on list published by the Indiana Department of Administration. 4.Contractordoes not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the Contractor subsequently learns is an unauthorized alien. Contractor agrees that he/she/itshall enroll in and verify the work -Verify Program as defined by I.C. 22-5-1.7-ocumentation of enrollment and participation in the E-Verify Program is included and attached as part of this bid/quote; and 5.Contractor shall require his/her/its subcontractors performing work under this public contract to certify that the subcontractors do not knowingly employ or contract with an unauthorized alien, nor retain any employee or contract with a person that the subcontractor subsequently learns is an unauthorized alien, and that the subcontractor has enrolled in and is participating in the E-Verify Program. The Contractor agrees to maintain this certification throughout the term of the contract with the City of South Bend, and understands that the City may terminate the contract for default if the Contractor fails to cure a breach of this provision no later than thirty (30) days after being notified by the City. 6.Persons, partnerships, corporations, associations, or joint venturers awarded a contract by the City of South Bend through its agencies, boards, or commissions shall not discriminate against any employee or applicant for employment in the performance of a Citycontract with respect to hire, tenure, terms, conditions, or privileges of employment, or any matter directly or indirectly related to employment because of race, sex, religion, color, national origin, ancestry,age, gender expression, gender identity, sexual orientation or disability that does not affect that person's ability to perform the work. In awarding contracts for the purchase of work, labor, services, supplies, equipment, materials, or any combination of the foregoing including, but not limited to, public works contracts awarded under public bidding laws or other contracts in which public bids are not required by law, the City, its agencies, boards, or commissionsmay consider the Contractorgood faith efforts to obtain participation by those Contractors certified by the Version 802/25/14 as a factor in determining the lowest, responsible, responsive bidder. In no event shall persons or entities seeking the award of a City contract be required to award a subcontract to an MBE/WBE; however, it may not unlawfully discriminate against Utilization Board shall prohibit that person or entity from being awarded a City contract for a period of one (1) year from the date of such determination, and such determination may also be grounds for terminating the contact for which the discriminatory practice or noncompliance pertains. 7.The undersigned contractor agrees that the following nondiscrimination commitment shall be made a part of any contract which it may henceforth enter into with the City of South Bend, Indiana or any of its agencies, boards or commissions. Contractor agrees not to discriminate against or intimidate any employee or applicant for employment in the performance of this contract with privileges of employment, or any matter directly or indirectly related to employment, because of race, religion, color, sex, gender expression, gender identity, sexual orientation, handicap, national origin or ancestry. Breach of this provision may be regarded as material breach of contract. I, the undersigned bidder or agent as contractor on a public works project, understand my statutory obligations to the use of steel products or foundry products made in the United States (I.C. 5-16-8-1). I hereby certify that I and all subcontractors employed by me for this project will use steel products or foundry products made in the United States on this project if awarded. I understand I have an affirmative duty to notify the City in my bid that my proposal does not include the use of steel products or foundry products made in the United States. I understand it is my sole obligation and responsibilityto provide a justification to the City, subject to review and approval,why the cost of United States made steel or foundry products is unreasonable. Prior to award and upon submission of bid which does not use steel products or foundry products made in the United States, the City, through its director of public works, shall make a determination if the price of United States madesteel or foundry is unreasonable. I understand that violations hereunder may result in forfeiture of contractual payments. *** Version 802/25/14 I hereby affirm under the penalties of perjury that the facts and information contained in the foregoing bid for public works are true and correct. Per Alicia, no Notary at this time due to Covid-19 3rdApril Dated this day of , 20__ 20 Gama Sonic USA Solar Lighting, Inc. Contractor/Bidder (Firm) Type text here Signature of Contractor/Bidder or Its Agent Matt Cohen- Director, Commercial Sales Printed Name and Title 3rdApril20 Subscribed and sworn to before me this day of , 20 My Commission Expires Notary Public County of Residence Version 802/25/14 -1-12-22) INDIANA LOCAL BUSINESS PREFERENCE CLAIM A "local Indiana business" refers to any of the following: (1) A business whose principal place of business is located in an affected county. (2) A business that pays a majority of its payroll (in dollar volume) to residents of affected counties. (3) A business that employs residents of affected counties as a majority of its employees. (4) A business that makes significant capital investments in the affected counties as defined in rules adopted by the political subdivision. (5) A business that has a substantial positive economic impact on the affected counties as defined by criteria in rules adopted by the political subdivision. to St. Joseph County: Elkhart County, Marshall County, Starke County and LaPorte County There are the following price preferences for supplies purchased from a local Indiana business: less than $50,000 Date: ________________________ Pursuant to I.C. 36-1-12-22, ________________________________________ claims a local Indiana business preference for Project ____________________________________ (Project # __________) located within the City of South Bend, St. Joseph County, Indiana. The location of the principal place of business is _____________________________________: (Address) St. Joseph County, Indiana The following county located adjacent to St. Joseph County, Indiana: _____________________. The majority of the b Joseph County, Indiana or the adjacent county noted above. St. Joseph County, Indiana, or the adjacent county noted above. If the business is deemed to be the apparent lowest, responsible, responsive bidder, then it shall provide supporting documentation for the 12 month period prior to the date of the Bid of (i) the total payroll amount paid to all employees of the business, and (ii) the total payroll amount paid to employees who are residents of St. Joseph County and the adjacent county noted above. WHEN SUPPLYING SUPPORTING PAYROLL RECORDS, BIDDER SHALL REDACT ALL SOCIAL SECURITY NUMBERS. Dated this day of , 20__. Contractor/Bidder (Firm) Signature of Contractor/Bidder or Its Agent Printed Name and Title Version 8 02/25/14 SPECIFICATIONS CITY OF SOUTH BEND 120-007 2020 Lamppost Program QUOTE NAME April 14, 2020 at 9:30am Local Time see Instructions to Bidders FOR QUOTES DUE for electronic bid submission information Pursuant to notices given, the undersigned offers Quote(s) to the City of South Bend in accordance with the following attachment(s) which specify the class or item number or description, quantity, unit, unit price. F.O.B. destination is Bureau of Streets at 731 South Lafayette Boulevard, South Bend, IN 46601 I. DESCRIPTION A. This project includes the furnishing of lamppost materials detailed in these specifications. II. QUOTING REQUIREMENTS A. Vendor shall provide cut sheets of fixtures, poles, and mounting bases AT THE TIME OF QUOTE. Quotes received without supplemental cut sheets will be rejected. III. T A. Prevailing Specifications: None B. Additions 1. Where the term "or equal" is used in these specifications, the Quote provider deviating from specified item shall file with his/her Quote a letter fully explaining and justifying his/her proposed article or equal. The City of South Bend shall be the sole judge in determining if on. IV. TAX EXEMPT A. Prevailing Specifications: None B. Additions 1. Materials and properties purchased under contract with the Owner that becomes a permanent part of the structure or facilities constructed are not subject to the Indiana Gross Retail Tax (Sales Tax). The exemption number will be furnished to the Contractor upon award. V. INDEMNIFICATION A. Prevailing Specifications: None B. Additions 1. Contractor agrees to indemnify, defend and hold harmless the City of South Bend, its agents, officers and employees, from all costs, losses, claims and suits, including court costs, attorney fees, and other expenses, arising from or out of the negligent performance of this Contract by Contractor, or because of arising out of any defect in the goods, materials or equipment supplied by the Quote provider. VI. DELIVERY A. Prevailing specifications/INDOT Standard Specification Section: None B. Additions: 1. Within ninety (90) days after receipt of formal purchase order 2. Shipping costs included in total package price. 3. F.O.B. Destination Version 8 02/25/14 VII.TERMS OFPAYMENT A. Prevailing Specifications: None B. Additions 1. One payment after product is received and accepted VIII. COMPLETION A. The City reserves the right to cancel the order if the complete materials are not delivered by ninety (90) days from time of receipt of formal purchase order. IX. WARRANTY A. Prevailing Specifications: None B. Additions 1. All Parts shall include the following: a. Performance specifications b. Bill of Materials c. Warranties on all parts (i) A minimum 2 year warranty covering workmanship and material on all parts d. Installation and safety requirements X. SOLAR LAMPPOST WITH HAND AUGER BASE A. Prevailing Specifications: None B. Additions 1. Solar Lamppost with Hand Auger Base shall consist of the fixture, pole, and mounting base as specified in this section. a. Solar Lamppost Fixture (i) Shall be a single head lamp with 300 Lumens output (ii) Shall contain five (5) 8 Watt heavy duty solar panels with mono-crystalline solar cells with weather resistant tempered glass (iii) Shall contain 4 pack of Lithium Ion rechargeable batteries, with battery capacity of 6000 mAh and 3.2 voltage (iv) Shall contain 21 super bright LEDs with bright white light at 6000K color temperature and 21 warm white LEDs at 2700k color temperature (v) Shall be powder-coated rust-resistant cast aluminum with black finish with clear beveled glass panes (vi) Shall provide automatic dusk to dawn operation and switch for high/low brightness (vii) Shall provide light duration of up to 72 hours after full charge (viii) Lamp Head shall meet the following dimension requirements: Dimension Minimum Maximum Height 18 in. 19 in. Width 10 in. 11 in. Version 8 02/25/14 b. Solar Lamppost Pole (i) Shall provide height with (ii) Shall be powder-coated rust-resistant cast aluminum with Black finish c. Solar Lamppost Mounting Base (i) Shall provide mounting base that requires no electrical wiring or digging, with 24 in. galvanized metal auger stake (ii) Shall have built-in level on top of mounting base (iii) Shall provide turning bar for installation and three (3) additional support stakes (iv) All additional hardware required for installation included 2. All hardware required for assembly and installation of the Solar Lamppost shall be included in the quote package. 3. Any product specific tools required for installation shall be included in the quote package. 4. The pay item Solar Lamppost with Hand Auger Base shall include all materials as specified for one-hundred (100) lampposts including the fixture, pole, and mounting base specified in this section, plus any additional hardware required for installation. Version 8 02/25/14 CITY OF SOUTH BEND INSTRUCTIONS TO BIDDERS 1.BIDFORMS AND EXECUTION A.Bidders are expected to examine the Drawings, Specifications, Proposal and all Instructions. Failure to do so will be at the Bidder B.Each Biddershall furnish all information required by the Notice, Instructions to Bidders and Specifications. Bids must be made on the form provided. The Biddershall sign the Proposal and Non-Collusion Affidavit, which is a part of the provided form, where indicated, provide a notary signature and provide all other information required. C.The Biddershall sign the Proposal in the following manner: If the Proposal is made by an individual, his/her name and post office address must be shown. If made by a partnership or joint venture, the name and post office address of each member of the partnership or joint venture must be shown. If made by a corporation, the Proposal must be signed by an officer of the corporation or by a representative duly authorized by the corporation to execute the Proposal in its behalf. 2.SEALED BIDS ONLY A.Bids, Proposals, Guaranty, and other required documents must be submitted in a sealed envelope marked on the outside with the general classification of material BidBidfor BidBid B.When samples are required, such samples shall be delivered or shipped at the Bidder expense to the address specified in the Invitation to Bid. Samples must be shipped separately from Biddocuments and labeled clearly with the Bidder 727-688-5030 mobile** <<please use this commodity or equipment classifications and documents, the item (and item number, if any), and Material Safety Data Sheets (if applicable). All samples must be representative of the commodities or equipment which will be supplied by the successful Bidder. All samples will become the property of the City of South Bend and none will be returned, unless otherwise stated in the Specifications. C.In the event of an inconsistency between provisions of the contract documents, the inconsistency shall be resolved by giving precedence in the following order: 3.ORDER OF PRECEDENCE A.BidForm attached Proposal B.Amendments to Specifications C.Specifications D.Special Provision E.Instructions to Bidders F.Notice to Bidders 4.DELIVERY OF BIDS A.Notice is hereby given that the City of South Bend, Indiana, Board of Public Works will receive sealed electronic bids at:southbendin.gov/bids The Title of the Bid and Project Number (where applicable) as described above must be included in the subject lineof the email to which you have attached your bid. The name of the company/vendor, address, contact email address and phone number must be included in the body of the email. Detailed instructions and information, including the link to the Reserved Mailbox for electronic bid submittals, is available at southbendin.gov/bids B.Bids will be opened and read publicly at the time and place designated in the Notice to Bidders. Bidders, their authorized agents, and the public are invited to be present. C.The Board may reject any Bidthat does not conform to these requirements as non- responsive. Version 802/25/14 5. ADDENDA NO VERBAL INTERPRETATIONS A. No inquiries by Bidders relative to interpretation of Plans, Specifications, Special Provisions, or other Quoting Documents will be answered verbally. If any prospective Bidder is unable or unwilling to comply with one or more requirements of the Quoting document, such Bidder should so inform the Board of Public Works in writing. Upon receipt of such information, consideration will be given to the advisability of issuing an Addendum which would thereupon become applicable to all Bidders. Any such inquiry must be submitted at least seven (7) days prior to the Bid opening date in order to give the Board sufficient time to consider any necessary Addendum. All answers to such inquiries, in the form of Addenda, will be furnished to all prospective Bidders who have registered with the City. All Bidders are required to acknowledge receipt of any Addenda by inserting the Addendum number and the issuing date on executed Proposals. 6. REJECTION OF PROPOSALS CONTAINING ALTERATION, ERASURES, INCOMPLETE BIDS AND ETC. A. Proposals shall be rejected if they show any alteration of form, additions not called for, conditional or alternate Bids (except when and insofar as are invited), incomplete Bids, erasures or irregularities of any kinds. B. All blank spaces for Bid prices must be filled in, in ink, with the unit price and total price for each item (This does not apply to divisible Bids). In case of incorrect totaling of amounts and where the unit price and the extension thereof do not agree, the unit price for each item shall govern, and the City is authorized to correct all erroneous extension and totals for the purpose of comparing Bids. 7. TRADE DISCOUNTS A. Trade discounts shall not be shown separately, but shall be incorporated in the Bidder price, unless otherwise specified. 8. VEHICLE BIDS A. Bidders may Bid on one (1) or more vehicles, provided however, that the Bid submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly labeled on Bidders may Bid on one (1) or more vehicles, provided however, that the Bid submitted for each vehicle is delivered in a separate, sealed envelope, by vehicle, with the envelope clearly labeled on the outside as to the specific vehicle for which the Bid is being submitted. Bidders may submit separate Bid bonds for each vehicle being Bid upon OR may submit one (1) Bid bond equal to 10% of the combined total of all vehicle Bids submitted. 9. The Board may reject any Bid that does not conform to these requirements as non- responsive. 10. TAX EXEMPTIONS A. The City of South Bend is exempt from the payment of federal excise and transportation taxes levied under the provision of the Internal Revenue Code. It is also exempt from the Indiana State Gross Retail Tax (sales tax). The City will furnish the successful Bidder with any certificate of exemption required. 11. WITHDRAWAL OF BIDS A. Withdrawal of Bids will be allowed only in those cases in which a written request to withdraw a Bid is received by the Board of Public Works prior to the date and hour for receiving and opening Bids. In such cases, the same will be returned to Bidder unopened. 12. ESCALATOR OR CONTINGENT CLAUSES A. The use of escalator clauses or other contingent clauses by the Bidder is prohibited, unless requested or permitted by the Invitation to Bid. No Proposal shall contain nor be Proposal or purporting to alter such Proposal or any Contract which may be executed pursuant thereto. Version 8 02/25/14 13. PRICES MUST BE DELIVERED PRICES A. The Bid price shall be a delivered price. All materials shall be shipped F.O.B. destination as specified in the Invitation to Bid. No fuel surcharges accepted. 14. AWARD WAIVER OF TECHNICALITIES A. The Award of Bid, if any award be made, will be made within sixty (60) calendar days after the opening of Proposals to the lowest responsible and responsive Bidder complies with all the requirements prescribed, exclusive of technicalities waived. Until the final award of the Bid, however, the right is reserved by the City to reject any and all Proposals and to waive technical errors. 15. SPLITTING OF AWARDS/DIVISIBLE BIDS A. Bids will be awarded on the basis of the total dollar amount for all items in the Proposal unless the Bid is described by the City as a Divisible Bid. The City may award a Divisible Bid to the lowest responsible and responsive Bidder for each item or class of items as indicated in the Bid documents. 16. BIDDER QUALIFICATION A. The City may require any Bidder to submit evidence of qualifications, and may consider any evidence of the financial, technical, and other qualifications and abilities of the Bidder. The City will not award a Contract to a Bidder who, in its opinion, is not fully qualified on the basis of financial resources and responsibility, possession of adequate equipment, personnel, experience, and past record of performance to perform the obligations to be undertaken competently and without delay. 17. PURCHASE ORDERS A. A Purchase Order will be issued to the successful Bidder after formal acceptance of the Bid is made by the City. 18. NEW MANUFACTURE A. Unless otherwise specified in the Invitation to Bid, the items offered shall all be new and the latest model of manufacture. 19. SOURCE OF SUPPLY A. If the Bidder is not a manufacturer, the source of supply must be shown and all sub- contractors must be identified. 20. PACKAGING A. All items shall be delivered strongly packed and marked according to accepted commercial practice unless otherwise directed in the Specifications. No charge shall be made for containers and the City shall have no obligation to return containers unless otherwise provided by the Specifications or Special Provisions. Any items not received in good condition will be rejected. 21. INSPECTION OF GOODS A. The City of South Bend reserves the right to inspect and have any goods tested after delivery for compliance with the specifications. Notice of latent defects, which would make the item unfit for the purposes for which they are required, may be given at any time within one year after discovery of the defects. B. All items rejected must be removed immediately by the Contractor at the expense of the Contractor. If the Contractor fails or refuses to remove the rejected items, they may be sold by the City of South Bend. C. In some cases, at the discretion of the City, inspection of the commodities or equipment will be made at the factory, plant, or other establishment where they are produced before shipment. D. The above provision shall not be construed in limitations of any rights the City may have under any laws including the Uniform Commercial Code. Version 8 02/25/14 QUOTE/PROPOSAL CITY OF SOUTH BEND 120-0072020 Lamppost Program QUOTENAME April 14, 2020 at 9:30am Local Timesee Instructions to Bidders for FORQUOTES DUE electronic bid submission information Item No.DescriptionQuantityUnitUnit PriceTotal Amount Solar Lamppost with Hand Auger 1100LSUM $549.97 each - 10% discount Base Total Amount of Quote$ 49,497.30 Gama Sonic USA Solar Lighting, Inc. Quoter(Firm): 6185 Jimmy Carter Blvd, Suite F Address: Norcorss, GA. 30071 City/State/Zip: 727-688-5030 mobile ** <<please use this # during Covid-19 Type text here 678-736-8303 x 104678-736-8308 Telephone Number:Fax Number: By (Signature) Matt Cohen (Printed Name) Director, Commercial Sales (Title) BOARD OF PUBLIC WORKS Gary A. Gilot, PresidentJordan V. Gathers, Member Elizabeth A. Maradik, MemberTherese J. Dorau, Member Joseph R. Molnar, MemberAttest: Linda M. Martin, Clerk Version 802/25/14 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/06/2020 Department Engineering Name Alicia Czarnecki BPW Date 04/14/2020 Phone Extension 5903 Review and Approval Required Prior to Submittal to Board Diversity Compliance Officer Name and Inclusion Officer BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing Check the Appropriate Item Type Required for All Submissions Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name TBD Yes If Yes, Approved by Purchasing New Vendor No MBE Yes MBE/WBE Contractor Completed E-Verify Form Attached WBE No Project Name 2020 Lamppost Program Project Number 120-007 Funding Source COIT Account No. 404-0602-431-22-40 Amount Terms of Contract Purpose/Description _______________________________________________________________ _______________________________________________________________ ___________________________________________________ For Change Orders Only $ Increase Amount of Decrease ($ ) Previous Amount $ % Increase Decrease ( %) Current Percent of Change: New Amount $ % Increase Decrease ( %) Total Percent of Change: Time Extension Amount: New Completion Date: BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/21/2020 Department Engineering Name Alicia Czarnecki BPW Date 04/28/2020 Phone Extension 5903 Review and Approval Required Prior to Submittal to Board Diversity Compliance Officer Name and Inclusion Officer BPW Attorney Attorney Name Dept. Attorney Attorney Name Purchasing Check the Appropriate Item Type Required for All Submissions Professional Services Agreement Contract Proposal Open Market Contract Amendment/Addendum Special Purchase, QPA Bid Opening Bid Award Req. to Advertise Title Sheet Quote Opening Quote Award Reject Bids/Quotes Proposal Opening C/O & PCA No. PCA Chg. Order, No. Traffic Control Resolution Other: Ease./Encroach Required Information Company or Vendor Name Gama Sonic USA, Inc. Yes If Yes, Approved by Purchasing New Vendor No MBE Yes MBE/WBE Contractor Completed E-Verify Form Attached WBE No Project Name 2020 Lamppost Program Project Number 120-007 Funding Source COIT Account No. 404-0602-431-22-40 Amount $49,497.30 Terms of Contract Purpose/Description _______________________________________________________________ _______________________________________________________________ ___________________________________________________ For Change Orders Only $ Increase Amount of Decrease ($ ) Previous Amount $ % Increase Decrease ( %) Current Percent of Change: New Amount $ % Increase Decrease ( %) Total Percent of Change: Time Extension Amount: New Completion Date: