HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Dubail Avenue Streetscape Proj No. 120-009BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date July 7, 2021
Name Charlotte Brach
Department
Engineering
BPW Date July 13, 2021 Phone Extension 9246
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
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name 120-009 Dubail Avenue Streetscape
Project Number PROJ00000083
Funding Source RWDA TIF & SSDA TIF
Account No. PR-10336
Amount
Terms of Contract
Purpose/Description Request to Advertise for Dubail Ave Streetscape Project.
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:
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT SEWER WATER
TRAFFIC STREET OTHER
APPROVED BY BOARD OF PUBLIC WORKS APPROVED BY PUBLIC WORKS STAFF
DUBAIL AVENUE
STREETSCAPE
CITY PROJECT NUMBER 120-009
CITY OF SOUTH BEND, INDIANA PREVAILING LATEST EDITION
SPECIFICATIONS AND STANDARD DRAWINGS, TO BE USED WITH THESE PLANS.
STREET REHABILITATION ON EAST DUBAIL AVENUE BEGINNING AT THE WEST
INTERSECTION OF MICHIGAN STREET AND ENDING AT THE EAST
INTERSECTION OF MIAMI STREET IN ST. JOSEPH COUNTY.
SHEET 1 of 61
DIRECTORY....F:\2020\20-4292 South Bend Dubail Ave\30 SheetDrawings\01 Title and Index\FILE...............4292 TITLE-(South Bend).DWGDIMSCALE..1 LTSCALE....6PLOTTED BY..TStegallDATE.............Jul 12,2021 - 10:54amVS
ENGINEERING
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