HomeMy WebLinkAboutResolution No 46-2022 - SRF Loan Program PER AcceptanceBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 10-03-2022
Name: Jacob M. Klosinski Department of Public Works – Engineering Division
BPW Date: 10-11-2022 Phone Extension: 9496
Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt
Dept. Attorney Attorney Name Michael Schmidt
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
Resolution to accept Preliminary Engineering Report for Project No. 119-
069B WWTP Final Clarifiers 1, 2, and 3 Rehabilitation (See attached)
Project Number 119-069B (PROJ00000367)
Funding Source
Account No.
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description Public Works, Engineering, and Utilities requests the Board of Public Works
adopt a Resolution to accept the Preliminary Engineering Report for Project
No. 119-069B WWTP Final Clarifiers 1, 2, and 3 Rehabilitation. The
adoption of this Resolution is a requirement to be considered for potential
State Revolving Fund loan opportunities to fund the subject project.
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: