HomeMy WebLinkAboutTitle Sheet - Airport Annexation Area Water Main Extension Proj No. 120-026BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 09-20-2021
Name: Jacob M. Klosinski, P.E.Department of Public Works – Engineering Division
BPW Date: 09-28-2021 Phone Extension: 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Clara McDaniels
Dept. Attorney Attorney Name Clara McDaniels
Purchasing Michael Schmidt
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 Airport Annexation Area Water Main Extension
Project Number 120-026 (Part of PROJ00000012: Chocolate Factory Sewer / Water Ext.)
Funding Source River West – TIF
Account No. PROJ00000012
Amount
Terms of Contract
Purpose/Description The Division of Engineering and Division of Utilities request the approval of
a Title Sheet for the subject project. A request to advertise will be issued to
the BPW in October.
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:
RECOMMENDATIONS OF CITY STAFF
PLANS PREPARED BY:PLANS PREPARED FOR:
BOARD OF PUBLIC WORKS
TABLE OF CONTENTS STANDARD DRAWINGS
CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT SEWER WATER TRAFFIC STREET OTHER
AIRPORT ANNEXATION AREA
WATER MAIN EXTENSION
120-026
SEPTEMBER, 2021
ALONG U.S. 20 FROM PINE RD. TO US 31
END PROJECT
STA. 13+00
LI
N
C
O
L
N
H
W
Y
(
U
S
2
0
)ST JOSEPH VALLEY PKWY (US 31)OLIVE RDPINE RDTERRE VERDE HILLS CTBEGIN PROJECT
STA. 0+00POPPY RDSEC. 30 T 38 N, R 2 E
GERMAN TOWNSHIP
SEC. 25 T 38 N, R 1 E
WARREN TOWNSHIP
TITLE SHEET 0801
CITY OF SOUTH BEND, INDIANA PREVAILING SPECIFICATIONS LATEST EDITION,
SUPPLEMENTED BY 2020 INDOT STANDARDS, TO BE USED WITH THESE PLANS.
09-14-2021
Al Greek 09-15-21
Sean Ward 9-16-2021
09/17/2021
9/17/2021
September 28, 2021