HomeMy WebLinkAboutRTA & Title Sheet - Walker Field Restroom Bulding Proj No 125-024BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date: 5/18/2026
Name: Zak Tebell Department of Public Works – Engineering Division
BPW Date: 5/26/2026 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: Ratify Emergency
Contract 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 Walker Field Restroom Building
Project Number 125-024
Funding Source PR-00048133 Account No. 456-10-101-121-444000--PROJ00000619
Amount N/A
Terms of Contract Request to Advertise
Special Contract Provisions N/A
Purpose/Description Request to advertise for the Walker Field Restroom Building Project. oRequest includes a Title Sheet.
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:
May 26, 2026
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Walker Field
Restroom Building
CITY PROJECT NO. 125-024
APPROVED BY BOARD OF PUBLIC WORKS RECOMMENDATION OF CITY STAFF
ELIZABETH A. MARADIK
JOSEPH R. MOLNAR
ABIGAIL E. MAGAS, P.E.
BREANA N. MICOU
MURRAY L. MILLER
HILLARY HORVATH
PLANS PREPARED BY:
1111':"1 KIL I -ARCHITECTURE &PLANNING
05/06/2026
DATE
PRESIDENT
VICE PRESIDENT
MEMBER
MEMBER
MEMBER
CLERK
PLANS PREPARED FOR:
City of South Bend
South Bend City Hall,
215 S. Dr Martin Luther King Jr
Blvd South Bend, Indiana 46601
ABIGAIL E. MAGAS, P.E. CITY ENGINEER
ZACHARY TEBELL PROJECT ENGINEER
KYLE LUDLOW CONSTRUCTION MANAGER
STANDARD DRAWINGS
CITY OF SOUTH BEND, INDIANA
"STANDARDS FOR DESIGN & CONSTRUCTION"
MOST RECENT VERSION AT TIME OF BIDDING.
Gregory Kil 00034454 09/27/1984
Name: PE #### DATE REGISTERED
PROFESSIONAL ENGINEER STATE OF INDIANA
DATE
________________________________________________________________________________________________________________________ ......._ ______ .....
JPR PROJECT: #2024-01413
5/14/2026
5/14/2026
5/18/2026
May 26, 2026