HomeMy WebLinkAboutRequest to Advertise & Title Sheet - Downtown SB to ND Trail Hill St. & South Bend Ave. Proj No. 122-040BBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 2/27/2024
Name: Charlie Brach Department of Public Works – Engineering Division
BPW Date: 3/12/2024 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 122-040B ND-DTSB Trail – Hill St and South Bend Ave
Project Number PROJ451
Funding Source Fund 217
Account No. PR# 00031619
Amount N/A
Terms of Contract N/A
Special Contract Provisions N/A
Purpose/Description Request to Advertise for the second phase of the Notre Dame to Downtown
South Bend Trail Project (South Bend Ave and Hill Street from Notre Dame
Ave to Lasalle)
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:
March 12, 2024
CH A D A.KNI
P
RDERE
PSIGER
No. 10300102
STATE OF
T
ENIGNEL
AN
OINSSOF
E
N
I
DI
A
A ERABONMARCHE
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2/27/2024