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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />December 5 2017 <br />Tim Corcoran <br />Department DCI <br />BPW Date December 12 2017 Phone Extension 7692 <br />H Agreement <br />U Contract <br />U Proposal <br />U Addendum <br />® Professional Services <br />❑ Amendment <br />❑ <br />Bid Opening <br />❑ Bid Award <br />❑ Req. to Advertise ❑ Title Sheet <br />❑ <br />Quote Opening <br />❑ Quote Award <br />❑ Chg Order No. <br />❑ <br />CIO & PCA No. <br />❑ PCA <br />❑ Ease./Encroach. <br />❑ <br />Traffic Control <br />❑ Resolution <br />(� Other: <br />❑ <br />Claim <br />Company or Vendor Name <br />New Vendor <br />Incremental Development Alliance <br />Yes LI If Yes, Approved by Purchasing <br />No <br />❑❑ WBE Completed E Verify Form Attached ❑❑ No <br />Zoning Stress Test <br />DCI Admin Budget <br />21110014603106 <br />Amount $23,425 <br />Terms of Contract Test the South Bend Zoning Ordinance to determine compliance <br />of new development types. <br />Purpose/Description <br />Amount of a Increase $ <br />❑ Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />