HomeMy WebLinkAboutDeed of Dedication of Right of Way - Wall St & Greenlawn Improvements Proj No 124-023BBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
TO: Board of Public Works
FROM: Leslie Biek, P.E., Assistant City Engineer
SUBJECT: Deed of Dedication- Wall St from Greenlawn to Ironwood
DATE: August 12, 2025
Attached is an Deed of Dedication for Wall St from Greenlawn to Ironwood for public right of way.
This is currently park property but is currently being used as a roadway. With the current
construction project taking place this road will function as a public road.
It is requested the Board of Public Works approve the Deed of Dedication for Wall Street
from Greenlawn to Ironwood.
Thank you for your consideration of this request.
DEED OF DEDICATION OF
RIGHT OF WAY
THIS INDENTURE, made and entered into this 12th day of August, 2025, by and
between the City of South Bend, Indiana, acting through its Board of Public Works, a municipal
corporation organized under the laws of the State of Indiana ("Grantor"), and the City of South
Bend, Indiana, acting through its Board of Public Works ("Grantee")
WHEREAS, the City of South Bend is the owner of certain real estate located in St. Joseph
County, Indiana, and more particularly described in Exhibit A attached hereto and incorporated
herein by reference (the "Property"); and
WHEREAS, the Grantor desires to dedicate the Property as public right-of-way.
WITNESSETH: for and in consideration of One Dollar ($1.00) and other valuable
consideration, the receipt and sufficiency of which are hereby acknowledged, the Grantor hereby
GRANTS, CONVEYS, and DEDICATES the Property to the City of South Bend, Indiana, the
following described property as public right-of-way:
A part of the southeast quarter of Section 7, Township 37 North, Range 3 East,
City of South Bend, Portage Township, St. Joseph County, Indiana, as depicted on
the attached right-of-way parcel plat of Parcel 1 and being more particularly
describes as follows: Commencing at the southwest corner of Lot 222 of Berner
Grove Second Addition to River Park (now City of South Bend) as recorded in
Plat Book 8, Pages 122 and 123 in the St. Joseph County Recorder's Office,
designated as point "300" on said parcel plat; thence North 89' 11'02" West across
a platted alley in said addition, 14.00 feet to point "301" as designated on said plat,
being a point on the east line of the Grantor's land, also being on the east line of
said southeast quarter, also being the point of beginning; thence South 00°06'21"
East along the east line of the Grantor's land and the east line of said southeast
quarter, 80.01 feet to point "302" as designated on said plat, thence North
89°04'47" West, 1291.55 feet to point "303" as designated on said plat, being a
point on the westerly line of the Grantor's land, also being a southern extension of
the east right-of-way line of Greenlawn Avenue; thence North 00°10'06" West
along the westerly line of the Grantor's land and the east line of Greenlawn
Avenue, 80.01 feet to point "304" as designated on said plat; thence South
89°04'47" East, 1291.64 feet to the point of beginning and containing 2.37 acres,
more or less.
The Grantor further warrants that it is the sole owner of the Property and has the authority
to dedicate it for public use as described herein.
IN WITNESS WHEREOF, the Grantor has signed this Deed of Dedication on this
day of
2025.
Elizabeth Maradik
STATE OF INDIANA )
SS
COUNTY OF )
Before me, a Notary Public in and for said County and State, personally appeared,
, and acknowledged the execution of the foregoing Deed of Dedication for
and behalf of Grantor, and who having been duly sworn, stated that the representations therein are
true.
WITNESS my hand and Notarial Seal this day of 12025.
, Notary Public
Residing in St. Joseph County, Indiana
My Commission Expires:
I affirm under penalties for perjury, that I have taken reasonable care to redact each Social Security
number in this document, unless required by law.
Michael J. Schmidt
Prepared by Michael J. Schmidt, Assistant City Attorney, 227 W. Jefferson, Ste. 1200S, South
Bend, IN 46601.
ACCEPTANCE
This Deed of Dedication of the Property described in Exhibit A, to be used as public right-
of-way by the City of South Bend is hereby accepted this 12th day of August, 2025.
CITY OF SOUTH BEND, INDIANA
BOARD OF PUBLIC WORKS
114
Elizabeth A. Maradik, President
Gary A. Gilot, Member
Murray L. Miller, Member
Joseph R. Molnar, Vice President
Breana Micou, Member
Xt f v
Attest: Hillary R. Horvath, Clerk
Date: August 12, 2025
EXHIBIT A
Depiction of Real Estate
EXHIBIT "A"
PREPARED BY ABONMARCHE CONSULTANTS FOR THE CITY OF SOUTH BEND, INDIANA
PARCEL #: 1 - FEE SHEET 1 OF 1
KEY #: 71-19-07-476-002.000-026
A PART OF THE SOUTHEAST QUARTER OF SECTION 7, TOWNSHIP 37 NORTH, RANGE 3 EAST, CITY OF
SOUTH BEND, PORTAGE TOWNSHIP, ST. JOSEPH COUNTY, INDIANA, AS DEPICTED ON THE ATTACHED
RIGHT-OF-WAY PARCEL PLAT OF PARCEL 1 AND BEING MORE PARTICULARLY DESCRIBED AS
FOLLOWS:
COMMENCING AT THE SOUTHWEST CORNER OF LOT 222 OF BERNER GROVE SECOND ADDITION TO
RIVER PARK (NOW CITY OF SOUTH BEND) AS RECORDED IN PLAT BOOK 8, PAGES 122 AND 123 IN
THE ST. JOSEPH COUNTY RECORDER'S OFFICE, DESIGNATED AS POINT "300" ON SAID PARCEL PLAT;
THENCE NORTH 8901 1'02" WEST ACROSS A PLATTED ALLEY IN SAID ADDITION, 14.00 FEET TO POINT
"301" AS DESIGNATED ON SAID PLAT, BEING A POINT ON THE EAST LINE OF THE GRANTOR'S LAND,
ALSO BEING ON THE EAST LINE OF SAID SOUTHEAST QUARTER, ALSO BEING THE POINT OF
BEGINNING; THENCE SOUTH 00006'21 " EAST ALONG THE EAST LINE OF THE GRANTOR'S LAND AND
THE EAST LINE OF SAID SOUTHEAST QUARTER, 80.01 FEET TO POINT "302" AS DESIGNATED ON SAID
PLAT, THENCE NORTH 89004'47" WEST, 1291.55 FEET TO POINT "303" AS DESIGNATED ON SAID PLAT,
BEING A POINT ON THE WESTERLY LINE OF THE GRANTOR'S LAND, ALSO BEING A SOUTHERN
EXTENSION OF THE EAST RIGHT-OF-WAY LINE OF GREENLAWN AVENUE; THENCE NORTH 00010,06"
WEST ALONG THE WESTERLY LINE OF THE GRANTOR'S LAND, AND THE EAST LINE OF GREENLAWN
AVENUE, 80.01 FEET TO POINT "304" AS DESIGNATED ON SAID PLAT; THENCE SOUTH 89004'47" EAST,
1291.64 FEET TO THE POINT OF BEGINNING AND CONTAINING 2.37 ACRES, MORE OR LESS.
THIS DESCRIPTION PREPARED FOR THE CITY OF SOUTH BEND, INDIANA, BY MICHAEL J. ROZYCKI,
INDIANA REGISTERED LAND SURVEYOR, LICENSE NUMBER LS20500010, ON APRIL 14, 2025.
••rw►'1 4 14 2025
MICHAEL J. ROZYCKI, PS DATE
`r0%;11111l t i`flit
LS20500010 =
x STATE OF
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111
0:\PROJECTS\2024\24-0152 WALL STREET & GREENLAWN IMPROVEMENTS\WORKING-DESIGN\SURVEY\LEGALS AND REPORTS\P1 PERMANENT 2025-4-3.DOCX
EXHIBIT B
Right -of -Way Parcel Plat
EXHIBIT "B"
RIGHT-OF-WAY PARCEL PLAT
PREPARED BY ABONMARCHE CONSULTANTS, INC.
FOR CITY OF SOUTH BEND PUBLIC WORKS
JOB #24-0152
W
a
Z
a
J
Z
W
r CITY OF SOUTH BEND
(D
SHEET 1 OF 1
1,291.64
P.O.B.
301 w
r LOT 222
BERNER GROVE 2ND.
ADDITION
300 P.O.C.
A S E -
+CDo+
c
M
N N
o
Go
LOT 11
1,291.551
BERNER GROVE
302
1ST. ADDITION Q
O
O
Z
COORDINATE CHART (U.S. SURVEY FEET)
POINT CENTERLINE STATION OFFSET NORTHING EASTING
300
W
25+38.41
30.00' L
2338735.5900
178031.5471
301
W
25+24.08
30.00' L
2338735.7894
178017.5473
302
W
25+25.51
50.00' R
2338655.7767
178017.6951
303
W
12+33.96
50.00' R
2338676.5201
176726.3063
304
W
12+32.44
30.00' L
2338756.5342
176726.0714
LAND SURVEYOR'S STATEMENT
TO THE BEST OF MY KNOWLEDGE AND BELIEF, THIS PLAT, TOGETHER WITH THE "LOCATION
CONTROL ROUTE SURVEY" RECORDED AS DOCUMENT NO. 2025-07754 IN THE OFFICE OF THE
RECORDER OF ST. JOSEPH COUNTY, INDIANA, (INCORPORATED HEREIN AND MADE A PART
HEREOF BY REFERENCE) COMPRISE A ROUTE SURVEY, EXECUTED IN ACCORDANCE WITH
INDIANA ADMINISTRATIVE CODE 865 IAC 1-12 (RULE 12).
OWNER:
CITY OF SOUTH BEND
PARCEL:
1
PARCEL ROAD: WALL STREET
COUNTY:
ST. JOSEPH
SECTION:
7
PROJECT: N/A
TOWNSHIP:
37 NORTH
DES. NO.: N/A
RANGE:
3 EAST
CODE: N/A
100, 50' 0' 100,
SCALE: 1" = 100'
AREAS OF TAKING
PROPOSED R/W, 2.37 ACRES±
(ADDITIONAL)
NOTE:
SEE LOCATION CONTROL ROUTE
SURVEY FOR ADDITIONAL POINTS.*
STATIONS AND OFFSETS CONTROL
OVER BOTH NORTH & EAST
COORDINATES AND BEARINGS &
DISTANCES.
4/14/2025
11C!�AEL—J. ROZYCKI, P.S. DATE
INDIANA REGISTERED LAND SURVEYOR NO. LS20500010
:■ABONMARCHE
DRAWN BY: CMR DATE:4/2/2025
CHECKED BY: MJR DATE: 4/4/2025
315 W. Jerre... Bl d. Battle Creek Goshen (,1A/OC BY: HPM DATE: 4/4/2025
South Bend, IN. 46601 Benton Harbor Hobart
T 574.232.8700 Fort Wayne Lafayette
F 574.251.4440 South Haven South Bend
a bon —he.— Valparaiso
WARRANTY DEED INSTRUMENT D.R. 651, PG. 41 & D.R. 599, FIGS. 313-314
TAX KEY NO.: 71-19-07-476.002.000-026 TAKING: 2.37 AC. +/-
Z
0
4T W g6
Z p
F
�K
0
M
V)
w
0
r�LU
B A
U
0
V
w
North:
00
East: 176877.0760
■■■
Street
.jiyl r uu.-3 CP #32 53.1'—_-winal a Sul
SCI Set Rebar with Cap "Abonmarche Control Point"
Sta. 13+84.2, 16.7 Rt. Line "W"
North:
#10000 East:
2338727.0751
176692.1579
I I y❑
Sign "Bile
II �❑
Route"
Pole #J2��
❑ ❑❑❑ ❑ ❑❑
— �'to
Wall Street
5'
e
SMAG Set Mag Nail with Disc "Abonmarche Firm #0050"
Sta. 11+99.00, 0.0' Line "W"
SURVEY STARTED
September 16, 2024
SURVEY COMPLETED
October 22, 2024
ROUTE PLAT SHEETS
1 I of 1 2
North: 2338698.3140
CP #33 East: 177238.3562
Wall Street 1
_ _ CP #33
Sign 48.4' 6.�Wanh����
U-
II
PP/L� i I
SCI Set Rebar with Cap "Abonmarche Control Point"
Sta. 17+48.6, 20.0' Rt. Line "W"
North: 2338705.6035
# 10001 East: 178028.8805
_ Ma�lhoI 0
— —
S Wall Street
ap�clP #37 ' FIP —4f
SMAG Set Mag Nail with Disc "Abonmarche Firm #0050"
Sta. 25+35.90, 0.0' Line "W"
315 W. Jefferson Blvd.
Benton Harbor
Valparaiso
South Bend, IN. 46601
South Bend
Hobart
T 574.232.8700
Goshen
Kalamazoo
F 574.251.4440
Fort Wayne
Grand Haven
abonmarche.com
Lafayette
Grand Rapids
COPYRIGHT 2M- ASONMARCHE CONSULTANTS, INC-
Engineering' Architecture' Land Surveying
North: 2338647.6750
East: 177609.1731
Wall Street
Sign
0 II
Tree
I
CP #34 1 " W I
SCI Set Rebar with Cap "Abonmarche Control Point"
Sta. 21+17.2, 64.7' Rt. Line "W"
North: 2338704.7501
# 10002 East: 178192.7386
Hydra
Manhole'-�
-----�
— -
23.3'
Wall Street
�—
/ 0 !
-tp
� 0
SMAG Set Mag Nail with Disc "Abonmarche Firm #0050"
Sta. 26+99.76, 0.0' Line "W"
North:
CP #37 East:
2338678.2300
177998.2093
Wa I 4r&et
Inlet
O
PP/D r 1
SCI Set Rebar with Cap "Abonmarche Control Point'
Sta. 25+05.7, 27.9' Rt. Line "W"
SURVEYOR STATEMENT I
THIS SURVEY, TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS
EXECUTED ACCORDING TO THE PROVISIONS OF TITLE 865 I.A.C.
1-12-20 THROUGH 1-12-26 REGARDING ROUTE SURVEYS, EXCEPT
THAT ANY DATA SHOWN REGARDING THE LOCATION OR DESCRIPTION
OF THE EXISTING PARCELS IS NOT A PART OF THIS SURVEY.
��-. �r, 1STFRO�i�-
_ * _ LS20500010
STATE OF
North: 2338725.6320
CP #38 East: 178225.9910
Ma ole 43.5 — — — — —
�'- Wall Street
�q�? N Manhole
�� ---
Sign X,-® -,--F ,�-u �-.,—. �. —
SCI Set Rebar with Cap "Abonmarche Control Point"
Sta. 27+32.9, 27.1' Lt. Line "W"
I AFFIRM, UNDER THE PENALTIES FOR PERJURY, THAT I HAVE
TAKEN REASONABLE CARE TO REDACT EACH SOCIAL SECURITY
NUMBER IN THIS DOCUMENT, UNLESS REQUIRED BY LAW.
Prepared by:
4/3/2025
HAEL J. ROZYCKI, S. DATE
PROFESSIONAL LAND SURVEYOR #LS20500010
STATE of INDIANA
CITY
OF
SOUTH
BEND
BOARD
OF
PUBLIC
WORKS
LOCATION CONTROL ROUTE SURVEY
GRAPHIC SCALE
40 0 20 40 So
( IN FEET
1 inch = 40 &
DRAWN: CMR
CHECKED: HPM
HORIZONTAL SCALE DATE: 3/19/2025
1 Inch = 40 Feet ABONMARCHE NO: 24-0152
COUNTY DESIGNATION
St. Joseph
SURVEY BOOK SHEETS
RBS #22, Pgs. 50 - 51 1 of 2
CONTRACT PROJECT
.S!/rvPvnr'S Rennrt_
LOCATION OF SURVEY
THIS LOCATION CONTROL ROUTE SURVEY WAS COMPLETED FOR WALL STREET
IMPROVEMENTS AND FOR ANTICIPATED PERMANENT RIGHT OF WAY ALONG WALL
STREET THROUGH POTAWATOMI PARK. THIS SURVEY IS LOCATED WITHIN THE
SOUTHEAST QUARTER OF SECTION 7 AND THE SOUTHWEST QUARTER OF SECTION 8,
ALL IN TOWNSHIP 37 NORTH, RANGE 3 EAST.
PURPOSE OF SURVEY
THE PURPOSE OF THIS SURVEY WAS TO OBTAIN DATA, ESTABLISH A HORIZONTAL
ALIGNMENT FOR LINES W AND VERTICAL CONTROL FOR THE DESIGN AND
CONSTRUCTION OF SAID WALL STREET IMPROVEMENTS ON THE ABOVE -MENTIONED
ROUTE. ALTHOUGH FOUND MONUMENTS AND PROPERTY LINES ARE DEPICTED, THIS
SURVEY IS NOT INTENDED TO BE AN ORIGINAL OR RETRACEMENT SURVEY. PROPERTY
LINES, CORNERS, AND RIGHT-OF-WAY LINES ARE SHOWN AS APPROXIMATE LOCATION
ONLY.
CONTROL AND BASIS OF BEARING
THE HORIZONAL CONTROL FOR THIS SURVEY WAS ESTABLISHED USING GLOBAL
NAVIGATION SATELLITE SYSTEM (GNSS). THE HORIZONTAL COORDINATE VALUES
SHOWN ARE NAD83(2011), INDIANA EAST ZONE, BASED ON THE INCORS (INDIANA
CONTINUOUSLY OPERATING REFERENCE STATIONS) USING THE GEOID MODEL OF
GEOID MODEL 12A.
THE HORIZONTAL ALIGNMENT FOR LINE W WAS ESTABLISHED BY BEST FIT CENTERLINE
OF THE EXISTING ROAD IMPROVEMENTS FOR WALL STREET THROUGHT THE
POTAWATOMI PARK (NO RIGHT OF WAY EXISTS) AND BY HOLDING THE EXISTING
MONUMENTS ALONG THE RIGHT OF WAY OF WALL STREET AT AN OFFSET DISTANCE
WITHIN BERNER GROVE 1ST ADDITION AND 2ND ADDITION, BOTH RECORDED IN THE
ST. JOSEPH COUNTY RECORDS.
VERTICAL CONTROL
THE VERTICAL DATUM FOR THIS LOCATION CONTROL SURVEY WAS OBTAINED FROM
INDOT INCORS NETWORK (NAVD 88). CONTROL POINTS 37 AND 34 WERE HELD AND
TBM'S WERE LEVELED THROUGH.
SURVEY STARTED
September 16, 2024
SURVEY COMPLETED
October 22, 2024
ROUTE PLAT SHEETS
2 1 of
2
LOT 226
i
ww
LOT 224
ARTHUR 0. JR. & BARBARA A. OLMSTEAD
H H 749 S. IRONWOOD DR.
Nl00
a a 10061FIR
(n -Jul
LLi LOT 223
CITY OF SOUTH BEND PTJ PARTNERS LP
10001 Qj 749 S. IRONWOOD DR.
Set Mag Nail w Tag "Abonmarche Firm #0050" J J 1005 HP
P.O.T. Sta. 25+35.90 Line "W" u.i
N:2338705.6035
E:178028.8805 �^�_ �� ^_ LOT 222 1
FINDINGS OF FACTS (MONUMENTS
IN ACCORDANCE WITH TITLE 865, ARTICLE 1, CHAPTER 12 OF THE INDIANA
ADMINISTRATIVE CODE (RULE 12), THE FOLLOWING OBSERVATIONS AND OPINIONS
ARE SUBMITTED REGARDING THE VARIOUS UNCERTAINTIES IN THE LOCATIONS OF THE
LINES AND CORNERS ESTABLISHED IN THIS SURVEY AS A RESULT OF UNCERTAINTIES IN
REFERENCE MONUMENTS, IN RECORD DESCRIPTIONS AND PLATS, AND AS
INTRODUCED BY RANDOM ERRORS AND MEASURMENTS.
ALL ADDITION MONUMENTS ARE SHOWN AND REFERENCED IN THE CORDINATE VALUE
CHART AND ON THE FACE OF THE DRAWING
THE UNCERTAINTIES OF SAID POINTS IS ESTIMATED TO BE 0.50', MORE OR LESS.
CENTERLINE AND CONTROL POINT MONUMENTATION
THE CENTERLINE POINTS FOR LINE W ARE AS SHOWN ON THE FACE OF THE SURVEY.
THESE MONUMENTS HAVE AN ESTIMATED UNCERTAINTY OF 0.10', MORE OR LESS. THE
CONTROL POINTS FOR THIS SURVEY ARE AS NOTED ON THE INCLUDED REFERENCE
BOXES.
mmMABONMARCHE
315 W. Jefferson Blvd.
South Bend, IN.46601
T 574.232.8700
F 574.251.4440
abonmarche.com
COPYRIGHT 2025 - ASONMARCHE CONSULTANTS, INC.
Benton Harbor
Valparaiso
South Bend
Hobart
Goshen
Kalamazoo
Fort Wayne
Grand Haven
Lafayette
Grand Rapids
Engineering • Architecture • Land Surveying
SURVEYOR STATEMENT
THIS SURVEY, TO THE BEST OF MY KNOWLEDGE AND BELIEF, IS
EXECUTED ACCORDING TO THE PROVISIONS OF TITLE 865 I.A.C.
1-12-20 THROUGH 1-12-26 REGARDING ROUTE SURVEYS, EXCEPT
THAT ANY DATA SHOWN REGARDING THE LOCATION OR DESCRIPTION
OF THE EXISTING PARCELS IS NOT A PART OF THIS SURVEY.
Po
�V.Z- Fes'%�G
* ' LS20500010
S STATE OF
14
S'UR,';
LV' ""
BERNER GROVE 1ST. ADDITION
( IFIR
10002
raa "Abonmarche Firm #0050"
P.O.T. Sta. 26+99.76 Line "W"
N:2338704.7501
E:178192.7386
TERESA GODDARD
750 S. IRONWOOD DR.
FPP
1007
LOT 248 ( Q
d-
Point
No
SPC
Northing
SPC
Easting
Description
32
2338707.3700
176877.0760
Set Rebar with Red Cap "Abonmarche Control Point"
33
2338698.3140
177238.3562
Set Rebar with Red Ca "Abonmarche Control Point"
34
2338647.6750
177609.1731
Set Rebar with Red Ca "Abonmarche Control Point"
35
2338434.5280
177390.4280
Set Rebar with Red Cap "Abonmarche Control Point"
36
2338107.8380
177444.6110
Set Rebar with Red Cap "Abonmarche Control Point"
37 12338678.2300
177998.2093
Set Rebar with Red Cap "Abonmarche Control Point"
38
2338725.6320
178225.9910
Set Rebar with Red Ca "Abonmarche Control Point"
39
2339318.9330
177379.4530
Set Mag Nail
1000
2338675.5240
178031.5898
Found 3/4-inch Iron Pipe
1002
2338588.3190
178222.1554
Found 1/2-inch Iron Pipe
1004
2338630.5120
178222.2107
Found 1/2-inch Iron Pipe
1005
2338776.6080
178163.1717
Found 1-inch Iron Pipe (-0.5')
1006
2338818.5860
178163.3022
Found 3/4-inch Iron Rod (-0.1')
1007
2338818.3590
178223.3543
Found 3/4-inch Pinchtop Pipe (-0.2')
1008
12338776.3230
178223.0823
Found 3/4-inch Pinchtop Pipe (-0.2')
1009
2338673.8000
178364.9476
Found Railroad Spike (-0.1')
8578
2338868.4350
176659.6130
Found Iron Pipe
10000
2338727.0751
176692.1579
Set Mag Nail with Disc "Abonmarche Firm #0050"
10001
2338705.6035
178028.8805
Set Mag Nail with Disc "Abonmarche Firm #0050"
10002
2338704.7501
178192.7386
Set Mag Nail with Disc "Abonmarche Firm #0050"
I AFFIRM, UNDER THE PENALTIES FOR PERJURY, THAT I HAVE
TAKEN REASONABLE CARE TO REDACT EACH SOCIAL SECURITY
NUMBER IN THIS DOCUMENT, UNLESS REQUIRED BY LAW.
Prepared by:
4/3/2025
HAEL J. ROZYCKI, FrS. DATE
PROFESSIONAL LAND SURVEYOR #LS20500010
STATE of INDIANA
CITY
OF
SOUTH
BEND
BOARD
OF
PUBLIC
WORKS
LOCATION CONTROL ROUTE SURVEY
RB INVEST LLC
745 S. 23RD. ST.
0
0
0
M
a
GRAPHIC SCALE
40 0 20 40 so
IN FEET )
1 inch = 40 &
DRAWN: CMR
CHECKED: HPM
HORIZONTAL SCALE DATE: 3/19/2025
1 Inch = 40 Feet ABONMARCHE NO: 24-0152
COUNTY DESIGNATION
St. Joseph
SURVEY BOOK SHEETS
RBS #22, Pgs. 50 - 51 2 of 2
CONTRACT PROJECT
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date:
Name
August 8, 2025
Leslie Biek Department of Public Works — Engineering Division
BPW Date: August 12, 2025 Phone Extension: 9323
Required Prior to Submittal to Board
BPW Attorney X Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ❑
I Check the ADDroDriate Item TVDe — Reauired for All Submissions I
U Professional Services Agreement U Contract U 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: Deed of Dedication of ❑ Ease./Encroach
Right of Wav
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Information
❑ Yes❑ If Yes, Approved by Purchasing
❑ No
❑ WBE Completed E-Verify Form Attached El Yes
❑ No
Wall St and Greenlawn Ave Improvements
124-023B
Deed of Dedication for Wall St from Greenlawn to Ironwood for
right of way.
For Change Orders Only
Amount of ❑ Increase $
❑ Decrease ($ )
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
New Completion Date:
Increase %
Decrease
Increase %
Decrease