HomeMy WebLinkAboutRTA - 2026 Sewer Insurance Lateral Repair ProgramBOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 11/17/2025
Name Larry Parker Department Sewer
BPW Date l l /25/2025 Phone Extension
Review and Approval Required Prior to Submittal to Board
Diversity Compliance ❑
Officer Name
and Inclusion Officer
BPW Attorney
® Attorney Name
Dept. Attorney ❑ Attorney Name
Purchasing ® Mickey Lovy
Check the Appropriate Item I
Professional Services Agreement ❑ Contract
❑ Open Market Contract
❑ Bid Opening
❑ Quote Opening
❑ Proposal Opening
❑ Chg. Order, No.
I -I Other:
Company or Vendor Name
New Vendor
MBE/WBE Contractor
Project Name
Project Number
Funding Source
Account No.
Amount
Terms of Contract
Purpose/Description
Michael Schmidt
❑ Amendment/Addendum
❑ Bid Award
❑ Quote Award
❑ C/O & PCA No.
❑ Traffic Control
Information
All Submissions
❑ Proposal
❑ Special Purchase, QPA
® Req. to Advertise ❑ Title Sheet
❑ Reject Bids/Quotes
❑ PCA
❑ Resolution
Ease./Encroach
Yes ❑ If Yes, Approved by Purchasing
❑ No
❑ MBE Completed E-Verify Form Attached ❑ Yes
No
2025 Sewer Insurance Lateral Repair Program
Sewage Works is soliciting applications from qualified vendors to participate in its
Sewer Lateral Repair Program at the rates herein for the 2026 calendar year.
ff For Change Orders Only
Amount of ❑ Increase CITY OF SOUTH BEND, INDIANA
❑ Decrease BOARD OF PUBLIC WORKS
Previous Amount
Current Percent of Change
New Amount
Total Percent of Change:
Time Extension Amount:
$ V11.Vlik
Increa&
Decrees Elizabeth A. Maradik, President
Increa&
Decrea;
Gary A. Gilot, Member
New Completion Date: Murray L. Miller, Member
Nw I
Joseph R. Molnar, Vice President
Breana Micou, Member
Attest: Hillary R. Horvath, Clerk
Date: November 25, 2025