Data Sharing Agreement - University of Chicago

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 12-16-2016 Name Santiago Garces Department Innovation BPW Date 12-22-2016 Phone Extension 7652 Legal ® Attorney Name Huntington Controller ® Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing ❑ Agreement ❑ Contract ❑ Proposal ❑ Addendum ❑ Professional Services ❑ Resolution ❑ Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award ❑ Change Order No. ❑ C/O & PCA No. ❑ PCA ❑ Ease/Encroach. ❑ Traffic Control M Other: Data Sharing Company or Vendor Name University of Chicago New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing MBE/WBE Contractor ❑ MBE ❑ WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company Project Name Project Number Funding Source None Account No. N/A Amount $ 0 Terms of Contract 12/22/2016 — 12/31/2017 Purpose/Description Data sharing agreement to work on a project that will do exploratory analysis around water shutoffs. The protect will be funded from a grant from the Arnold Foundation. The work will include analysis to identify households at risk of not paving their water bills and understand what type of interventions such as referring them to support programs, can help prevent water shutoffs and reduce financial and personals costs for both the government and the residents. ❑ Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Verifv. Iran. etc.) Amount of ❑ Increase ❑ Decrease Previous Amount Current Percent of Change New Amount Total Percent of Change: Dispersal After Approval Copy Original ® ❑ Brian hue