HomeMy WebLinkAboutRequest to Advertise - Three (3) More or Less, 2021 or Newer, Utility Crew Trucks – Spec CBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date Aril 26 2021
Department Central
Name Jeff Hudak Services
BPW Date May 11 2021 Phone Extension
Review and A �ro�al Re uired Prior to Submittal to Board
Diversity Compliance ❑
and Inclusion Officer Officer Name
BPW Attorney M Attorney Name Clara McDaniels
Dept. Attorney ❑ Attorney Name
Purchasing ® Michael Schmidt
Check the Appropriate Item Type — Regt iced jar All Submissions
❑ Professional Services Agreement ❑ Contract ❑ Proposal
❑ Open Market Contract ❑ Amendment/Addendum ❑ Special Purchase, QPA
❑ Bid Opening ❑ Bid Award ® Req. to Advertise ❑ Title Sheel
❑ 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
❑ Yes❑ If Yes, Approved by Purchasing
New Vendor
❑ No
E] MBE Yes
MBE/WBE Contractor
F] WBE Completed E -Verify Form Attached ❑ No
Project Name
Sec C — Three 3 More or Less 2021 or Newer Utility Crew Trucks
Project Number
Funding Source
Sewers - Cash Streets - Lease
Account No.
Sewers — 642-06-602-509-445000 Streets — 202-06-602-503-445000
Amount
Sewers - $77;1500.00 Streets - $155,000.00
Terms of Contract
Purpose/Description
—Spec C — Three (3) More or Less 2021 or Newer Utility Crew Trucks
For Change Orders Only
Amount Of ❑
CITY OF SOUTH BEND, INDIANA
❑
BOARD OF PUBLIC WORKS
Previous Amount
-1,'a
Current Percent of Change:
Elizabeth A. Maradik, President Jordan V. Gathers, Member
New Amount
Gary A. Gilot, Member Murray L. Miller, Member
Total Percent of Change:
Time Extension Amount:
New CamIetion Date:
Joseph R. Molnar, Member Attest: Anne Fuchs, Clerk