HomeMy WebLinkAboutRequest to Advertise - 2023-2024 Water Treatment Wastewater ChemicalsBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 04-03-2023
Name: Jacob M. Klosinski Department of Public Works – Engineering Division
BPW Date: 04-11-2023 Phone Extension: 9496
Required Prior to Submittal to Board
BPW Attorney X Attorney Name Michael Schmidt
Dept. Attorney Attorney Name Michael Schmidt
Purchasing Mickey Lovy
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 Water Treatment Chemicals - Wastewater 2023-2024
Project Number TBD
Funding Source Sewage Works Operations
Account No. 641-06-605-514-422012 (or other accounts)
Amount Unit Pricing
Terms of Contract One Year Contract – May 1, 2023 through April 30, 2024
Special Contract Provisions
Purpose/Description Division of Wastewater requests the Board of Public Works approval to
advertise for public quote/bid for unit price quotes for competitive pricing of
chemicals and materials for use at the Wastewater Treatment Plant.
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:
April 11, 2023