HomeMy WebLinkAboutRequest to Advertise & Title Sheet - YSB & SB Thrive Subdivision Infrastructure Imp. Proj No. 123-011BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 7/28/2023
Name: Charlie Brach Department of Public Works – Engineering Division
BPW Date: 8/8/2023 Phone Extension: 9246
Required Prior to Submittal to Board
BPW Attorney X 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 N/A
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE
WBE Completed E-Verify Form Attached Yes
No
Project Name 123-011 YSB and SB Thrive Subdivision
Project Number PROJ465
Funding Source Fund 408 and ARP015
Account No. PR # 26650
Amount N/A
Terms of Contract N/A
Special Contract Provisions N/A
Purpose/Description Request to advertise for the Youth Services Bureau and South Bend Thrive
Subdivision public infrastructure project.
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: August 8, 2023
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