HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Randolph Park Area Improvements Proj No. 120-049BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: February 1, 2022
Name: Finnian Cavanaugh Department of Public Works – Engineering Division
BPW Date: February 8, 2022
Phone Extension: 5961 or
fcavanau@southbendin.gov
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Clara McDaniels
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 Randolph Park Improvements
Project Number 120-049
Funding Source PR-00014497
Account No. (471-11-206-288-444000--PROJ00000237) 2017 Parks Bond Capital
Amount
Terms of Contract
Purpose/Description Project to demolish vacated street and restore landscape in park,
construct new paved turnaround, and install new storm sewer
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:
February 8, 2022
02/01/2022
02/01/2022
2/1/2022
2/1/2022
February 8, 2022