Award Quotation - Cleveland Well Field Refurbishments Well Cleaning Project No 118-021C - Peerless Midwest Inc

Home Browse Search

BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 9/03/19 Department Public Name Becca Plantz Works BPW Date 9/10/19 Phone Extension 5998 amurmm� nmmmom mummimmimmmuuuuuuuummmmmmmmmmmuuuummmummu m mmmmrmmmmmmm�wummmmmmmmm ,.�...�,�,_. .._..._ ....._ ....... ......... euiredITPrior to Submittal to Board BPW µAttorney ® Attorney Name Clara McDaniels ITmm-..._.... Dept. Attorney [❑ Attorney Name Purchasing Check the A Item 'Fype - l e quir eel lr All Submissions ❑, Professional Services Agreement E:1 Contract ❑ Open Market Contract ❑ Amendment/Addendum �❑ Bid Opening F-j Bid Award Quote Opening ® Quote Award ] Proposal Opening ❑ C/O & PCA No. El Chg. Order, No. ❑ Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description uired Information Proposal LJ Special Purchase, QPA ❑ Req. to Advertise E] Reject Bids/Quotes j PCA F-j Resolution Ease./Encroach ...... ❑ Title Sheet Peerless Midwest .....l Yes If Yes Approved b Purchasing � ❑ ❑ Pp Y ® No MBE Completed E-Verify Form Attached ❑ Yes WBE ❑ No Cleveland Well Field Refurbishments — Well Cleaninc 118-021C Riverwest TIF 324-1050-460.42-02 Lump Sum Award quote for cleaninmmm ins ection, rehabilitation and motor replacemen for Well Pump No. 5 at the Cleveland Notch Well Field -_ .._....................... _.._ . ....._ __..... For "hatge Orders Only Amount of ❑ Increase $ ❑ Decrease....$ Previous Amount $ Increase % Current Percent of Change: Decrease _ %) New Amount $ ...._..... ........_..o. ...-a Increase /o Total Percent of Change: Decrease _ �m Time Extension Amount: .....%........................................................ New Completion Date: