HomeMy WebLinkAboutTitle Sheet - 2023 Curb and Sidewalk Program Proj No. 123-001CITY OF SOUTH BEND, INDIANA
DEPARTMENT OF PUBLIC WORKS
PROJECT SEWER WATER TRAFFIC STREET OTHER
APPROVED BY BOARD OF PUBLIC WORKS APPROVED BY PUBLIC WORKS STAFF
2023 CURB AND SIDEWALK
REPLACEMENT PROGRAM
CITY PROJECT NUMBER 123-001
DISTRICT 1 - CANNETH LEE
CITY OF SOUTH BEND, INDIANA PREVAILING SPECIFICATIONS LATEST EDITION,
TO BE USED WITH THESE PLANS.
DISTRICT 2 - HENRY DAVIS, JR.
DISTRICT 3 - SHARON MCBRIDE
DISTRICT 4 - TROY WARNER
DISTRICT 5 - ELI WAX
DISTRICT 6 - SHEILA NIEZGODSKI
A & Z ENGINEERING
1220 Ruston Pass
Fort Wayne, IN 46825
260.485.7077
www.az-engineering.net
LLC
PLANS PREPARED FOR:
ENGINEERING DIVISION
1316 COUNTY-CITY BUILDING
SOUTH BEND, IN 46601
CITY OF SOUTH BEND
7/13/2023
7/13/2023
7/17/2023
July 25, 2023
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 7-17-2023
Name: Gemma Stanton Department of Public Works – Engineering Division
BPW Date: 7/25/2023 Phone Extension: 9083
Required Prior to Submittal to Board BPW Attorney X Attorney Name Michael Schmidt
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 A&Z Engineering
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name 2023 Curb & Sidewalk
Project Number 123-001
Funding Source N/A
Account No. PR/PO #
Amount
Terms of Contract
Special Contract Provisions
Purpose/Description Signature of title sheet for 2023 Curb and Sidewalk plans. To be added as an
addendum to the plans currently being advertised.
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: