HomeMy WebLinkAboutRequest to Advertise & Title Sheet - LaSalle Avenue Streetscape Project Project No. 122-013BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 10/31/2022
Name Leslie Biek, PE Department PW
BPW Date 11/8/2022 Phone Extension 9323
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 LaSalle Streetscape
Project Number 122-013, PROJ 317
Funding Source River East TIF Bond
Account No. PR - 20064
Amount
Terms of Contract
Purpose/Description LaSalle Streetscape from MLK to Eddy.
Request to Advertise: 11/18, 11/25
Bids Due 12/20
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:
November 8, 2022
CITY OF SOUTH BEND, INDIANADEPARTMENT OF PUBLIC WORKSCity of South BendSEE INDEX & GENERAL NOTES, SHEET 1CITY PROJECT NO. 122-013LASALLE AVENUESTREETSCAPE PROJECTSurveyingEngineeringPlanningGISArchitectureLandscape ArchitectureUtility ManagementEnvironmentalRenewable EnergySouth Bend, Indianap: 574.232.4388Elkhart, Indianap: 574.293.7762Fort Wayne, Indianap: 260.422.2522JO N E SP E T R I ER A F I N S K I
H:\2021 Projects\2021-0489\04_Drawings\DWG\LaSalle Ave Streetscape\_COVER.dwg, 10/14/2022 12:53:25 PM
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