HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Ignition Park EV Charging Lot Proj No. 120-044BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 1/28/2021
Name: Finnian Cavanaugh Department of Public Works – Engineering Division
BPW Date: 2/9/2021
Phone Extension: 5961 or
fcavanau@southbendin.gov
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Clara McDaniels
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 Ignition Park EV Charging Lot
Project Number 120-044
Funding Source TIF River West Development
Account No. 324-10-102-121-443001—PROJ00000208
Amount $400,000 (subject to RDC approval)
Terms of Contract NTE
Purpose/Description Construction funds for Ignition Park EV Charging Lot. Seeking Request
To Advertise approval at 2/9/2021 BPW meeting. IMPORTANT: Total
amount is subject to RDC approval week of 2/8/2021 (currently exceeds
available funds)
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:
02/03/202102/04/20212/4/2021