HomeMy WebLinkAboutRTA & Title Sheet - SBCSC Admin. Bldg. Renovation - Elevator Replacement Proj No. 124-001ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 04/16/2024
Name Becca Plantz Department Public Works
BPW Date 04/23/2024 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
South Bend – SBCSC Administration Building Renovation – Elevator
Replacement
Project Number 124-001A
Funding Source Economic Development LIT
Account No. PROJ 362
Amount
Terms of Contract Lump Sum
Purpose/Description Demolish existing elevator equipment and construct a pair of elevators in the
South Bend Community School Corp Building for City Hall renovations.
For Change Orders Only
Amount of Increase
Decrease
$
($ )
Previous Amount $
Current Percent of Change:
Increase
Decrease
%
( %)
New Amount $
Total Percent of Change:
Increase
Decrease
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( %)
Time Extension Amount:
New Completion Date: April 23, 2024
Vanessa Shumate, AIA, LEED AP
04/15/2024
AR11300128
04/16/2024
4/16/2024
4/17/2024
April 23, 2024