HomeMy WebLinkAboutRequest to Advertise - Demolition of 1000 W. Sample St. (Former Fun FX Bldg.) Proj No. 123-014BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 01/16/2024
Name Zach Hurst Department DPW
BPW Date 01/23/2024 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 Demolition of 1000 W. Sample St. – Former Fun FX Building
Project Number 123-014
Funding Source ARP Funding
Account No. PR-00030442
Amount
Terms of Contract
Purpose/Description Request to advertise for bids to demolish remainder of former Fun FX
building at 1000 W. Sample St., by way of Indiana’s Unsafe Building Law
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: January 23, 2024