HomeMy WebLinkAboutRTA & Title Sheet - 2026 CCMG Ireland Road Proj No 125-061BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date 12/12/2025
Name Dan Jones Department DPW
BPW Date 12/16/2025 Phone Extension 9245
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 2026 CCMG Ireland Road
Project Number 125-061
Funding Source PR-44963
Account No. 430-442001, 251-431000
Amount $
Terms of Contract
Purpose/Description RTA advertising 1/9 and 1/16 for bids due 1/27
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:
December 16, 2025
CITY OF SOUTH BEND, INDIANA PREVAILING SPECIFICATIONS LATEST EDITION,TO BE USED WITH THESE PLANS.RECOMMENDATIONS OF CITY STAFFPLANS PREPARED BY:PLANS PREPARED FOR:CITY OF SOUTH BEND, INDIANADEPARTMENT OF PUBLIC WORKSPROJECTSEWERWATERTRAFFICSTREETOTHER2026 CCMGIreland Road125-061 January 2026Project Area12/12/202512/12/202512/12/202512/12/202512/12/2025December 16, 2025