Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 02-15-2021 <br />Name: Jacob M. Klosinski Department of Public Works – Engineering Division <br />BPW Date: 02-23-2021 Phone Extension: Ext. 9496 <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Clara McDaniels <br />Purchasing Michael Schmidt <br />Check the Appropriate Item Type –Required for All Submissions <br /> Professional Services Agreement Contract Proposal <br /> Open Market Contract Amendment/Addendum Special Purchase, QPA <br /> Bid Opening Bid Award Req. to Advertise Title Sheet <br /> Quote Opening Quote Award Reject Bids/Quotes <br /> Proposal Opening C/O & PCA No. PCA <br /> Chg. Order, No. Traffic Control Resolution <br /> Other: Ease./Encroach <br />Required Information <br />Company or Vendor Name <br />New Vendor Yes If Yes, Approved by Purchasing <br /> No <br />MBE/WBE Contractor MBE <br />WBE Completed E-Verify Form Attached Yes <br />No <br />Project Name 2021 Trucking of Biosolids for Land Application <br />Project Number 121-023 <br />Funding Source Sewage Works Operations, Organic Resources, Other Contractual Services <br />Account No. PR/PO # PR-0007482 <br />Amount Est. $130,000.00 (Budgeted) <br />Terms of Contract “Per Hour Per Truck” Not to Exceed <br />Purpose/Description The City of South Bend will contract services to truck biosolids from its <br />Organic Resources facility for land application within 50 miles of the facility. <br />This is an annual contract. <br />For Change Orders Only <br />Amount of Increase <br />Decrease <br />$ <br />($ ) <br />Previous Amount $ <br />Current Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br /> <br />New Amount $ <br />Total Percent of Change: <br />Increase <br />Decrease <br />% <br />(%) <br />Time Extension Amount: <br />New Completion Date: