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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: October 12, 2020 <br />Name: Finnian Cavanaugh Department of Public Works — Engineering Division <br />Phone Extension: 5961 or <br />BPW Date: October 27, 2020 fcavanau@asouthbendin.gov <br />Required Prior to Submittal to Board <br />BPW Attorney X Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />I Check the Appropriate Item Tvne — Reauired for All Submissions I <br />N Professional Services Agreement U Contract U Proposal <br />❑ Open Market Contract ❑ 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. ❑ Traffic Control ❑ Resolution <br />n Other: n Ease./Encroach <br />Information <br />Company or Vendor Name Jones Petrie Rafinski Corporation <br />New Vendor ❑ Yes El If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑ ❑ <br />MBE Completed E-Verify Form Attached ❑ Nos <br />Project Name Guardrail Replacement and Installation <br />Project Number 118-084 <br />Funding Source LRS Street Maintenance <br />Account No. 251-06-600-506-436008 <br />Amount $26,985 <br />Terms of Contract NTE <br />Purpose/Description Design services for guardrail replacements and one new installation. <br />Primarily updating old designs for bid by end of year. <br />For Change Orders Onl <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase <br />Decrease <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />