HomeMy WebLinkAboutRequest to Advertise - 2021 Brick Pavement Spot Repairs Proj No. 121-019BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: May 26th, 2021
Name: Finnian Cavanaugh Department of Public Works – Engineering Division
BPW Date: June 8th, 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
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Brick Pavement Spot Repairs
Project Number 122-019
Funding Source PR-00009400
Account No. 2021 Infrastructure Bond: 455-06-600-506-442001--PROJ00000283
Amount $160,000 budget
Terms of Contract NTE
Purpose/Description Request to advertise for bids due July 13th. Work to include spot repairs
of brick pavement in near west side.
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: