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BOARD OF PUBLIC WORKS <br />AGENDA ITEM RF',VIEW REQUEST FORM <br />February 26, 2018 <br />David Relos <br />Department DCl <br />BPW Date March 13, 2018 Phone Extension 5836 <br />Required Prior to Submittal to Board <br />Legal Attorney Name Ben Dougherty <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing 1:1 <br />N <br />Agreement <br />LJ <br />Contract L] Proposal LJ Addendum <br />El <br />Professional Services <br />El <br />Resolution <br />F-1 <br />Bid Opening <br />El <br />Bid Award Req. to Advertise ] Title Sheet <br />F-1 Quote Opening <br />F-1 Quote Award <br />El Change Order No. <br />F1 C/O & PCA No. ❑ PCA <br />❑ <br />Ease/Encroach. <br />F-1 Traffic Control <br />Other: <br />Company or Vendor Name <br />New Vendor <br />MBENVBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Redevelopment Commission <br />Yes LJ No LJ If Yes, Approved by Purchasing <br />MBE F-1 WBE <br />First Amendment To Redevelopment Supervisory Services Agreement <br />324-1050-460-31.06 <br />$ 90,000 each year for both 2018 and 2019; billed quarterly <br />Effective I/ I / 18, Adi ust titles and fee amounts. <br />Purpose/Description To pay City for Executive Director and Director of Business Development <br />of DC1 for their services. Flat fee from TIF for Redevelopment projects. <br />F-1 Required Contractor's Certification Form Attached (Non - <br />Collusion. Non -Discrimination, Non -Debarment, E-Verifv, Iran. etc.) <br />Amount of El increase <br />EJ Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy <br />Original <br />M <br />F-1 David Relos, <br />H <br />F Judy Love <br />1-1 <br />El <br />