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HomeMy WebLinkAboutRequest to Advertise - Three (3) More or Less, 2021 or Newer, Utility Crew Trucks – Revised Spec CBOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date May 18, 2021 Name Jeff Hudak Department Central Services BPW Date May 25 2021 Phone Extension Review and Approval Required Prior to Submittal to Board Diversity Compliance and Inclusion Officer ❑ Officer Name BPW Attorney ® Attorney Name Clara McDaniels Dept. Attorney ❑ Attorney Name Purchasing ® Michael Schmidt Check the Appropriate Item Type -- Required_fol- 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 Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description uired Information ❑ Yes❑ If Yes, Approved by Purchasing ❑ No F-1 WBE Completed E -Verify Form Attached ❑❑ Nos Spec C — Three (3) More or Less 2021 or Newer Utility Crew Trucks Sewers -Cash Streets - Lease Sewers — 642-06-602-509-445000 Streets — 202-06-602-503-445000 Sewers - $77,500.00 Streets - $155,000.00 _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 vl .a Current Percent of Change: Elizabeth A. Maradik, President New Amount Total Percent of Change: Time Extension Amount: Gary A. Gilot, Member ME 01 New Completion Date: Joseph R. Molnar, Member M Jordan V. Gathers, Member Murray L. Miller, Member Attest: Anne Fuchs, Clerk