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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date April 22, 2020 <br />Department Public <br />Name Scott <br />BPW Date April 28, 2020 Phone Extension 9245 <br />Required Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Michael Schmidt <br />Check the Appropriate <br />Item Type — Re uired or All Submissions <br />❑ Professional Services Agreement ❑ Contract <br />❑ Proposal <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />❑ Special Purchase, QPA <br />❑ Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Reject Bids/Quotes <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />❑ PCA <br />❑ Chg. Order, No. <br />❑ Traffic Control <br />❑ Resolution <br />® Other: Memorandum of <br />❑ 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 />St. Jose <br />n Yes <br />Information <br />Coun <br />If Yes, Approved by Purchasing <br />® No <br />❑ WBE Completed E-Verify Form Attached ❑❑ Yes <br />No <br />Ironwood Drive - Resurfacing <br />120-031 <br />MVH <br />266-0607-431.36-10 <br />$261,139.51 <br />Lump Sum <br />MOU with St. Joseph County for the resurfacing of Ironwood Drive from <br />US 20 Bypass to Kern Road. <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 />Total Percent of Change: <br />Time Extension Amount: <br />New Combletion Date: <br />Increase % <br />Decrease ( % <br />