Award Quote - Light-Up South Bend – Lighted Decorative Bollard Replacements – Proj No. 119-005B - All Phase Electric Supply

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12/11/19 . .......... Name Alicia Czarnecki Department ,pine BPW Date 12/19/19 Phone Extension 5903 Re uircq Prior to Submittal to Board BPW Attorney ❑ Attorney Name Dept. Attorney ❑ Attorney Name Purchasing Check the Appropriate Item Type - Ret a El Professional Services Agreement Contract ❑ Open Market Contract ❑ Amendment/Addendum Bid Opening ❑ Bid Award ❑ Quote Opening ® Quote Award Proposal Opening C/O & PCA No. Chg. Order, No. Traffic Control El Other: Rear li;red Information All Submissions LJ Proposal ❑ Special Purchase, QPA EJ Req. to Advertise ❑ Reject Bids/Quotes PCA Resolution ❑ Ease./Encroach ❑ Title Sheet Company or Vendor Name All Phase Electric S,91 aI New Vendor Yes If Yes, Approved by Purchasing ❑ No MBE/WBE Contractor Completed E-Verify Form Attached F] Nos ❑ WBE Project Name Lighl Up South Bend - Lighted Decorative Bollard Replacements Project Number 119-005B Funding Source ....................................... ....__ COIT Account No. --------- __ ........... .. 404-0602-431.22-40 Amount $29,043.75 Terms of Contract .................................. Purpose/Description .._.._................................................. .._...................... � For Change Orders .! l Amount of Increase $ ❑ Decrease ($ ) Previous Amount .............. ___........... .......... ........................ .................. $ _.___ .. _......__...._ .._._____........_ Increase % Current Percent of Change: Decrease ( %) New Amount $ ........... Increase % Total Percent of Change: o ) Decrease ( /o Time Extension Amount:: New Completion Date: