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Request to Advertise & Title Sheet - Water Gate Repair Proj. No. 122-063
BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 04/17/2023 Name Zach Hurst Department DPW BPW Date 04/25/2023 Phone Extension 3057 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 West Gate Repair Project Number 122-063 Funding Source Storm Sewer Fund Account No. PR-00024383 Amount Terms of Contract Purpose/Description Request to advertise for bids for replacement of West Gate at Century Center 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 25, 2023 © 2022 Microsoft Corporation © 2022 Maxar ©CNES (2022) Distribution Airbus DS E Washington St.N Michigan St.S Michigan St.E Jefferson Blvd.E Wayne St.S St. Joseph St.N St. Joseph St.E Jefferson Blvd.N Niles St.S Niles St.E Colfax Ave.W Colfax Ave.PH. (574) 234-3167525 W. WASHINGTON AVENUESOUTH BEND, INDIANA 46601LAWSON-FISHER ASSOCIATES P.C.0200'100'400'200'Scale: 1" = 200'R E GISTEREDINDIANASTATE OFNo.10200285 PROFESSIONAL ENGIN EER M A RK H. FOSTER4/19/234/21/20234/26/20234/21/2023April 25, 2023