HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Beck's Lake LaSalle Park EPA Master Plan Proj No. 120-053BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: March 11, 2022
Name: Finnian Cavanaugh Department of Public Works – Engineering Division
BPW Date: March 22, 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 TBD
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name Beck’s Lake LaSalle Park EPA Master Plan
Project Number 120-053
Funding Source Liability Insurance
Account No. 226-04-405-412-436000--PROJ00000226
Amount
Terms of Contract NTE
Purpose/Description Request to Advertise bids for construction of Beck's Lake LaSalle Park
EPA Master Plan.
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:
March 22, 2022
03/21/2022
3/21/2022
FINNIAN CAVANAUGH PROJECT ENGINEER
3/21/2022
March 22, 2022