HomeMy WebLinkAboutTitle Sheet - North Pumping Station Flood Damage Repairs Proj No. 118-302RBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 09-21-2021
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 North Pumping Station Flood Damage Repairs
Project Number 118-302R
Funding Source Liability Insurance
Account No. 226‐04‐405‐414‐443001
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. We will be re-quoting the North Pumping
Station Flood Damage Repairs work in October.
For Change Orders Only
Amount of
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($ )
Previous Amount $
Current Percent of Change:
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%
(%)
New Amount $
Total Percent of Change:
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Time Extension Amount:
New Completion Date:
CITY OF SOUTH BEND, INDIANA PREVAILING SPECIFICATIONS LATEST EDITION,TO BE USED WITH THESE PLANS.RECOMMENDATIONS OF CITY STAFFPLANS PREPARED BY:PLANS PREPARED FOR:BOARD OF PUBLIC WORKSTABLE OF CONTENTSSTANDARD DRAWINGSCITY OF SOUTH BEND, INDIANADEPARTMENT OF PUBLIC WORKSPROJECTSEWERWATERTRAFFICSTREETOTHERNorth Pumping Station118-302RSEPTEMBER 2021830 North Michigan StreetPROJECTLOCATION09-22-202109-24-21Al Greek09/24/20219/24/2021September 28, 2021