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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />2/28/18 <br />Timmer <br />Department DCI <br />BRIT Date 3/13/18 Phone Extension 58�41 <br />---- ----- ---- - . . .............. ........... . .. . .. ......... ...... ... <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 />Ll Agreement <br />R Professional Services <br />F] Bid Opening <br />Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />Other: Amendment <br />Contract <br />Resolution <br />E] Bid Award <br />F-1 Quote Award <br />F-1 C/O <br />n Traffic Control <br />Proposal <br />[:1 Req. to Advertise <br />am <br />Company or Vendor Name Rebuilding Together, St. Joseph County, Inc. <br />New Vendor [J Yes M No El If Yes, Approved by Purchasing <br />MBEANBE Contractor [:] MBE [] WBE <br />MBE/WBE Contractor Requested M No F-1 Yes Name of Company <br />Project Name Rebuilding Together Program <br />Project Number 18-JC-13 <br />Funding Source Community Development Block Grant (CDBG) <br />Account No. 212.1001.460.39.30 <br />Amount $130,000 <br />Terms of Contract <br />Purpose/Description <br />1/01/18 - 12/31/18 <br />041154MAT11 <br />[:] Title Sheet <br />Provide repairs for Ilow-mod income homeowners in SE <br />neighborhood through annual Rebuilding Together program <br />FJ Required Contractor's Certification Form Attached (Non - <br />Collusion, Non-Disc0mination, Non -Debarment, E-Verifv, Iran, etc. <br />Amount of L_J Increase <br />El Decrease <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />R, <br />R <br />Total Percent of Change,: % <br />Dispersal After Approval <br />Copy Original <br />Judy Love <br />F-1 F-1 <br />F F <br />