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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />December 20th. 2016 <br />FPTk77:F121111 a of <br />Department Comm Inv <br />BPW Date December 22th, 2016 Phone Extension 5842 <br />Legal ® <br />Attorney Name Michael Schmidt <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller ❑ <br />and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing ❑ <br />Check the Appropriate Item Type'- Required for All Submissions <br />❑ Agreement <br />® Contract ❑ Proposal <br />❑ Addendum <br />❑ Bid Opening <br />❑ Bid Award ❑ Req. to Advertise <br />❑ Title Sheet <br />❑ Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ Ease./Encroach. <br />❑ Traffic Control ❑ Resolution <br />❑ Other: <br />❑ Claim <br />Required Information <br />Company or Vendor Name <br />Northern Indiana Workforce Board (NIWB), Inc. <br />❑ Yes ❑ If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />❑❑ WBE Completed E-Verify Form Attached <br />El Nos <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />Pathways Program <br />EDIT <br />408-1001-460-31.06 <br />$1,758.75 <br />Traininq programs to train necessary skills to under skilled <br />workers to meet labor needs in the community. <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />® Sarah Heintzelman, Community Investment <br />® Judy Love, Community Investment <br />® Jacob Alexander, Community Investment <br />