HomeMy WebLinkAboutRequest to Advertise - North Shore Drive Bank Stabilization Proj No. 118-005ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/27/2020
Name Alicia Czarnecki Department Engineering
BPW Date 11/10/2020 Phone Extension 5903
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name
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
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name North Shore Drive
Project Number 118-005A
Funding Source Storm Sewer Fund
Account No. 667-06-605-517-442002
Amount TBD
Terms of Contract
Purpose/Description _Bank stabilization project along east side of St. Joseph River between
Parkovash Ave. and Iroquois St. __________________________
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
%
( %)
Time Extension Amount:
New Completion Date:
11-2-2020 Alicia Czarnecki 11/02/202011/02/202011/2/2020November 10, 2020