HomeMy WebLinkAboutRTA - Beacon Health New Parking - Proj No 123-076ABOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/04/2024
Name Zach Hurst Department DPW
BPW Date 11/12/2024 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 Beacon Health New Parking
Project Number 123-076A
Funding Source River West DA TIF
Account No. PR-00037200
Amount
Terms of Contract Line Item
Purpose/Description Request to advertise for bids to construct new parking where South Bend
Medical Foundation is being demolished. Project will also close vacated
Navarre St. to through traffic.
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:
November 12, 2024