Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/5/2019 <br />Name Zach Hui. <br />Department Public <br />Works <br />BPW Date 3/12/2019 Phone Extension 3057 <br />WMWM11WI01mIHW 07 mmUIImIIIWWWWIIIIIIIIIIIVW 19=1llllllllll <br />I Cam( e � Prior to Submittal • <br />,�..... � 1 to Board <br />BPW Attorney [J Attorney Name <br />Dept. Attorney I❑ Attorney Name <br />Purchasing <br />"entwo viate Itemp : <br />Professional Services Agreement <br />Contact <br />El <br />Open Market Contract <br />❑ <br />Amendment/Addendum <br />Bid Opening <br />FI <br />Bid Award <br />F] <br />Quote Opening <br />El <br />Quote Award <br />Proposal Opening <br />[:1 <br />C/O & PCA No. <br />® <br />Chg. Order, No. 1 <br />El <br />Traffic Control <br />Other: <br />o Re�ui� ed. Infrmation.�.�__......�... <br />All Submissions <br />j Proposal <br />❑] Special Purchase, QPA <br />Req. to Advertise <br />�] Reject Bids/Quotes <br />PCA <br />[� Resolution <br />F1 Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name <br />Indiana Earth, Inc. <br />Yes If Yes Approved by Purchasing <br />New Vendor <br />No <br />❑❑ MBE <br />El <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />No <br />Project Name <br />320 at the Cascade — Site Utilities <br />Project Number <br />118-074D <br />Funding Source <br />River East TIF <br />�... _ ... <br />Account No. <br />4 .�. ....�. .... <br />29-1050-460-42.02 <br />w._ <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Chan e•Order No. 1 removes the 6 water main from the contract in favor <br />an 8" water main,maloniz with installation of a fire h <br />Brant for flushing <br />purposes. <br />_... <br />_ ...... <br />For Cliatig Orders lnly......... <br />...... <br />Amount of <br />Increase $ 18,295 00 <br />m _ �..... <br />._._._- �.�. <br />�] <br />Decrease ($ ) <br />PreviousAmount <br />$ 168,472..�00 �_�_...�...........�.._.........�....................�...�____-__- <br />m�......................�.�.�.�.�.�........ <br />_._......................................_....__w _..m.m.e.e <br />Increase 10.86% <br />_�...... .....mw...�.... <br />Current Percent of Change: <br />Decrease ( /o) <br />New Amount <br />$ 186,767.00 <br />Increase 10.86% <br />Total Percent of Change: <br />o <br />Decrease /o) <br />( <br />Time Extension Amount;, <br />0 dates m <br />New Completion Date:.m .._ <br />_... <br />019 <br />... .. 6/ 14/2..�...._............ <br />............. <br />