HomeMy WebLinkAboutRTA & Title Sheet - 2024 Lead Service Line Main Replacements West Zone Proj No. 123-069ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/02/2024
Name Becca Plantz Department Public Works
BPW Date 04/09/2024 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name Cynthia Simmons
BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovey
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 2024 Lead Service Line and Main Replacements West Zone
Project Number 123-069A
Funding Source State Revolving Fund
Account No.
Amount
Terms of Contract Unit Prices
Purpose/Description Replacement of cast iron water main and lead services from the water main
to the water meter of houses within a western zone.
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 9, 2024
315 Jefferson Boulevard
South Bend, IN. 46601
T 574.232.8700
F 574.251.4440
abonmarche.com
Engineering · Architecture· Land Surveying
Battle Creek Goshen
Benton Harbor Hobart
Lafayette South Haven
South Bend Valparaiso
ABONMARCHE
COPYRIGHT 2021 - ABONMARCHE CONSULTANTS, INC.CH A D A.KNI
P
RDE
RE
PSIGER
No. 10300102
STATE OF
T
ENIGNEL
AN
OINSSOF
E
N
I
DI
A
A ER4/1/2024
04/01/2024