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HomeMy WebLinkAboutRTA & Title Sheet - O'Brien Splashpad and Restroom Proj No 125-025O'BRIEN PARK SPLASHPAD & RESTROOM INSTALLATION ABONMARCHE COPYRIGHT 2025 - ABONMARCHE CONSULTANTS, INC.Engineering · Architecture· Land Surveying Benton Harbor Portage Ft. Wayne South Bend Goshen South Haven Hobart Valparaiso Lafayette 315 W. Jefferson Blvd. South Bend, IN 46601 T 574.232.8700 F 574.251.4440 abonmarche.com AIDIN N A T STATE OF No. 60016991REGISERE D ON LASSEF ORP I INE G EERN11/3/2025 11/3/2025 11/3/2025 November 12, 2025 BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date: 11/3/2025 Name: Zak Tebell Department of Public Works – Engineering Division BPW Date: 11/12/2025 Phone Extension: 9358 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 New Vendor Yes If Yes, Approved by Purchasing No MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name O’Brien Splashpad and Restroom Installation Project Number 125-025 Funding Source PR-00041839 Account No. 430-10-102-121-431002--PROJ00000623 Amount Terms of Contract Special Contract Provisions N/A Purpose/Description Request to advertise the O'Brien Splashpad and Restroom. 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, 2025