HomeMy WebLinkAboutWithdrawn - PCA - 2024 Lead Service Line Southeast Zone Proj No 123-069B - Selge ConstructionBOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM
Date 07/07/2026
Name Becca Plantz Department Public Works
BPW Date 07/14/2026 Phone Extension 5998
Review and Approval Required Prior to Submittal to Board
Diversity Compliance
and Inclusion Officer Officer Name ______________
BPW Attorney Attorney Name Michael Schmidt
Dept. Attorney Attorney Name
Purchasing Mickey Lovey
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 Selge Construction Co., Inc.
New Vendor Yes If Yes, Approved by Purchasing
No
MBE/WBE Contractor MBE WBE Completed E-Verify Form Attached Yes No Project Name 2024 Lead Service Line and Main Replacements Southeast Zone
Project Number 123-069B
Funding Source State Revolving Fund
Account No.
Amount
Terms of Contract Unit Prices
Purpose/Description Replacement of cast iron water main and lead services from the water main
to the water meter of houses within a southeastern zone.
For Change Orders Only
Amount of Increase Decrease
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($ ) Previous Amount $
Current Percent of Change:
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Decrease
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( %)
New Amount $
Total Percent of Change:
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Time Extension Amount: New Completion Date: