HomeMy WebLinkAboutRTA & Title Sheet - Portage & Elwood Demolition Proj No 124-065B12/18/202512-18-202512-18-202512-18-202512-18-2025December 16, 2025
BOARD OF PUBLIC WORKS
AGENDA ITEM REVIEW REQUEST FORM
Date: 12/8/2025
Name: Gemma Stanton Department of Public Works – Engineering Division
BPW Date: 12/16/2025 Phone Extension: 9083
Required Prior to Submittal to Board
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 Portage and Elwood Demo
Project Number 124-065B
Funding Source PR-44845
Account No. 324-10-102-121-439018
Amount
Terms of Contract Unit price
Special Contract Provisions
Purpose/Description Demolition of buildings at 1302 Elwood Ave
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