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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/01/2018 Department <br />Name Kara Boyles Division/Bureau <br />Public Works <br />Engineering <br />BPW Date 02/13/2018 Phone Extension 5933 <br />Legal ® Attorney Name: Clara McDaniels <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 />❑ Bid Opening <br />❑ Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />F� Other: General Release <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O &PCANo <br />❑ Traffic Control: <br />❑ Req. to Advertise ❑ Title Sheet <br />El <br />Company or Vendor Name LFA <br />Z Yes ❑ No If Yes, Approved by <br />New Vendor Purchasing <br />MBEIWBE Contractor ❑ MBE ❑ WBE <br />MBEIWBE Contractor Requested ❑ No Yes Name of Company <br />Project Name South Bend Parks Program Manager <br />Project Number 118-012 <br />Funding Source Parks <br />Account No. <br />Amount $250,000.00 <br />Terms of Contract Not to Exceed <br />Purpose/Description Professional services in support of the City's Venues Parks and <br />Arts proposed improvements for the calendar year of 2018. <br />❑ Required Contractor's Certification Forms Attached (Non <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Amount of ❑ Increase $ <br />❑ Decrease $ <br />............................... <br />Copy Original <br />® <br />❑ Kara Boyles, City Engineer <br />❑ <br />❑ <br />