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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 4-6-20 <br />Department Utilities <br />Name Al Greek Wastewater <br />BPW Date 4-14-20 Phone Extension 4210 <br />Required Prior to Submittal to Board <br />BPW Attorney x❑ Attorney Name <br />Dept. Attorney <br />Purchasing ❑ <br />Attorney Name <br />Check the Appropriate Item Type — Required. for All Submissions <br />x❑ Professional Services Agreement ❑ Contract ❑ Proposal <br />❑ Open Market Contract x❑ 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. 1 ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Arcadis <br />x❑ Yes <br />xn No <br />Information <br />If Yes, Approved by Purchasing <br />El MBE ❑ WBE Completed E-Verify Form Attached ❑❑ Neos <br />South Bend Utility Billing Implementation Support <br />Wastewater Engineering <br />641-0630-793-3102 <br />$407,950 <br />2700 additional hours thru Oct 2020 <br />South Bend is updating its Customer Service and Billing software_, see <br />attached letter memo <br />For Change Orders Only <br />Amount of ❑ Increase <br />❑ Decrease ($ ) <br />Previous Amount <br />Increase <br />Current Percent of Change: Decrease <br />New Amount <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Combletion Date: <br />