HomeMy WebLinkAboutRequest to Advertise & Title Sheet - CSO 18 Backwater Valve Replacement Proj No. 120-017BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 07-30-2021
Name: Jacob M. Klosinski, P.E. Department of Public Works — Engineering Division
BPW Date: 08-10-2021 Phone Extension: Ext. 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Clara McDaniels
Dept. Attorney ® Attorney Name
Purchasing ® Michael Schmidt
Clara McDaniels
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
F-1 Other: n Ease./Encroach
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Information
U YesU If Yes, Approved by Purchasing
❑ No
❑❑ WBE Completed E -Verify Form Attached ❑❑ Nos
CSO 18 Backwater Valve Replacement
120-017
641-06-605-514-439001
PR #00010974 /PO # TBD
Refer to Purchase Requisition, Price will be based on awarded quotation.
Lumn Sum and Unit Price
Purpose/Description Div. of Engineering and Div. of Utilities submits a request to advertise for the
receipt of quotations for the subject project for the replacement of the CSO 18
Backwater Valve. Refer to Memorandum and Quote Documents.
For Change Orders Only
❑ CITY OF SOUTH BEND, INDIANA
Amount of n BOARD OF PUBLIC WORKS
Previous Amount -x,1,1. (4
Current Percent of Change:
New Amount
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Total Percent of Change: e�z P1
Time Extension Amount:
New Completion Date: Joseph R. Molnar, Member
E
Jordan V. Gathers, Member
Murray L. Miller, Member
Attest: Anne Fuchs, Clerk
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT ■ SEWER ❑ WATER ❑ TRAFFIC ❑ STREET ❑ OTHER
CSO 018 BACKWATER VALVE
REPLACEMENT PROJECT
f
1
a..
v '.
PROJECT N0. 120-017
C
'c
PROJECT DESCRIPTION
REMOVAL OF EXISTING 72" DIAMETER TIDEFLEX DUCK BILL BACKWATER VALVE AT THE CSO 018 OVERFLOW
STRUCTURE LOCATED SOUTHEAST OF THE INTERSECTION OF LINCOLN WAY EAST AND EAST SAMPLE STREET, AND
INSTALLATION OF ONE NEW REPLACEMENT BACKWATER VALVE IN THE OVERFLOW STRUCTURE.
_E SAMPLE_ ST k
J PRO T
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
APPROVED BY BOARD OF PUBLIC WORKS STAFF
DATE
w
j7 i 1113r af+iF
�';" A. •
,
•� \�`•
Elizabeth A. Maradik, President Jordan V. Gathers, Member
7-0,a
pe-
o�shr.7f•"
t
07-07-2021
M NLDSINSKI" P.E. ADMINISTRATION AND DESIGN
/t,' 'jAj8 • ,
I
T7a=0212021
HD, P.E. CI
ES PN ENGINEER
'' ?p
, '� a :,•
"�v QTS"t��
- G A. Gilm, Member Murray. Miller, Member
Y
AL GREE DIRECTOR OF UTILITIES
Q
^� tl
Joseph R. Molnar, Member Attest: Anne Fuchs, Clerk
TOY VILLA V CONSTRUCTION MANAGER
�e ✓/i�2
07/08/2021
� .� ., a►
I i
.
�� I �.�� I fi Imo."
. .. .. .
.■
O AMERICAN 9025 RIVER ROAD, SUITE 200
INDIANAPOLIS,IN.0240
■ STRUCTUREPOINT
/J
Li %i` �e ti 7 DATE
No.
„00 zz° \IN
0.12
G
JOR G MCCORMACrc DATE
No. 11400122
STA�OOND INDIANA
CITY OF SOUTH BEND, INDIANA PREVAILING SPECIFICATIONS LATEST EDITION,
TEL 317.547.5580 FAX 317.543.0270
INC. WWW. strucicrepolntCom
"� \�M1'DIANN f'T
"•-„ss�oNA,,E��:�•°'
TO BE USED WITH THESE PLANS.
■