HomeMy WebLinkAboutTraffic Control Devices - New Installation - (1) 15-Minute Loading Zone Sign - E. Jefferson at Howard ParkBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 9/13/2021
Name Charlotte Brach
Department
Engineering
BPW Date 9/28/2021 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 Jefferson at Howard Park
Project Number TR21-084
Funding Source N/A
Account No. N/A
Amount N/A
Terms of Contract N/A
Purpose/Description Installation of one (1) 15-Minute Loading Zone Sign for two (2) parking spots
on Jefferson at Howard Park.
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:
BOARD OF PUBLIC WORKS
Request for Approval of
Traffic Control Device(s)
Board of Public Works Meeting Date: September 28, 2021 Traffic Request Number: TR21--084
I hereby submit the following installation or change of traffic control devices for review:
New Installation
Stop Sign
Yield Sign
Speed Limit, ___mph
Other, List
Removal
Stop Sign
Yield Sign
Speed Limit, ___mph
Other, List
Revision
Stop Sign
Yield Sign
Speed Limit, ___mph
Other, List
15-Minute Loading Zone
Location(s): Jefferson at Howard Park
This has been submitted:
In response to request by a citizen/ neighbor/ passerby:
In response to contracted reconstruction or improvements
In response to developer-provided reconstruction or improvement
In response to an internally-generated concern from VPA
Remarks:See attached exhibits
Submitted & Proposed by: Recommend Approval/Denial:
Prepared by: Charlotte Brach
Project Engineer
Date: 9/13/2021
Kara M. Boyles, PhD, PE
City Engineer
Date:
APPROVED DENIED
SOUTH BEND BOARD OF PUBLIC WORKS
President
Member
Member
Member
Member
Attest
Distribution:
Bureau of Traffic and Lighting
South Bend Police Department Traffic Division
9/22/2021
September 28, 2021
September 28, 2021
City of South Bend Charlotte Brach
Department of Public Works Project Engineer
Division of Engineering 9/13/2021
TR21-084
PROPOSED PARKING SIGNAGE
JEFFERSON AT HOWARD PARK
City of South Bend Charlotte Brach
Department of Public Works Project Engineer
Division of Engineering 9/13/2021
TR21-084
PROPOSED PARKING SIGNAGE
JEFFERSON AT HOWARD PARK