PSA - Donohue & Associates - Study for WWTP Structures

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date February 2 2017 Name Jacob M. Klosinski Department Utilities - Wastewater BPW Date February 14, 2017 Phone Extension (574) 235-9496 Legal ® Attorney Name Michael Schmidt Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ® Carol Kurzhal ❑ Agreement ❑ Contract U Proposal LJ Addendum ® Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control I-1 Other: Company or Vendor Name Donohue & Associates. Inc. New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Wastewater Treatment Plant Belt Influent Gate Study Project Number 117-026 Funding Source Utilities Wastewater Engineering Account No. 641-0630-793-31-02 Amount $ 15,300.00 (Not to Exceed) Terms of Contract Lump Sum (see Agreement attached) Purpose/Description Professional Services Agreement with Donohue & Associates to provide a study of the Wastewater Treatment Plant influent structures and provide recommendations to automate gates upstream of the Headworks Facility and at the Influent Flow Meter Structure ❑ Required Contractor's Certification Form Attached (Non - Collusion. Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) Amount of U Increase F ] Decrease Previous Amount Current Percent of Change: New Amount Total Percent of Change Copy Original ® ❑ Al ® ❑ Ja ® ❑ C; Director of Utilities Assistant City E Director of Financial Environmental Services