Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW RE QUEST FORM <br />Date 4/12/18 <br />Name Lary Timmer <br />Department DCI <br />BPW Date 4/24/18 <br />Phone Extension 5841 <br />R '0, e <br />q, P dPriorf <br />Legal <br />Attorney Name Clara McDaniels <br />Controller ❑ <br />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 />.. L-17- <br />""'kf""he o0ria IfOT d,"',fi t,­A,#'S,,bv <br />F-1 Agreement <br />0 Contract E] Proposal El Addendum <br />El Professional Services <br />El Resolution <br />F1 Bid Opening <br />F-1 Bid Award El Req. to Advertise El Title Sheet <br />F-1 Quote Opening <br />F1 Quote Award <br />F-1 Change Order No. <br />F-1 C/O & PCA No. ❑ P CA <br />El Ease/Encroach. <br />F1 Traffic Control <br />15� Other: Amendment <br />Company or Vendor Name AIDS Ministries/ AIDS Assist of North Indiana, Inc <br />New Vendor R'Yes E No R If Yes, Approved by Purchasing <br />MBEIWBE Contractor F-1 MBE F-1 WBE <br />MBE/WBE Contractor Requested Z No EJ Yes Name of Company <br />Project Name Emergency Shelter Operations & Rapid Rehousing Activities <br />Project Number 17-JE-02 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of <br />❑ <br />Emergency Solutions Grant (ESG) <br />212.1001.460.39.30 <br />$52,305.54 (increased by $3,299.54) <br />1/01117 — 2/10/19 <br />Increase contract by $3.299.54 (the leftover balance of 2016 <br />contract) for use in, Rapid Rehousing activities <br />Z Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change: % <br />Copy Original <br />E 0 Judy Love <br />F-1 El <br />El 1:1 <br />