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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/13/17 <br />Name John Murphy Department Adm/Finance <br />BPW Date 1/24/16 Phone Extension 7678 <br />Required Prior to Submittal to Board <br />Legal ® Attorney Name Michael Schmidt <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ® <br />George King <br />Check the Appropriate Item Type — Required for All Submissions <br />❑ <br />Agreement <br />❑ Contract ❑ Proposal ❑ Addendum <br />❑ <br />Professional Services <br />® Resolution <br />❑ <br />Bid Opening <br />❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ <br />Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />❑ Traffic Control <br />❑ <br />Other: <br />Required Information <br />Company or Vendor Name <br />Pricewaterhousecoopers LLP <br />New Vendor <br />❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBEM/BE Contractor <br />❑ MBE ❑ WBE <br />Project Name <br />2016 Police and Fire Pension Plan GASB 67 & 68 Valuation Reports <br />Project Number <br />None <br />Funding Source <br />Police Pension Plan and Fire Pension Plan <br />Account No. <br />702-0803-645-31-06 $ 701-0903-645-31-06 <br />Amount <br />$ $3,000.00 lump sum for each report, $6,000.00 total cost. <br />Terms of Contract <br />Required valuation reports for the Police and Fire Pension plans as <br />mandated by GASB 67 & 68. Pricewaterhousecoopers is the suggested <br />provider for services for Indiana cities by the Indiana Public Retirement <br />System. The City of South Bend has contracted with them successfully for <br />these services the roast two vears. <br />Purpose/Description <br />❑ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Required For Chanqe Orders Onlv <br />Amount of 0 <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />❑ <br />❑ <br />❑ <br />❑ <br />7 <br />❑ <br />Dispersal After <br />