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Date <br />Name <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM RE' VIEW REQUEST FORM <br />5/24/18 <br />Timmer <br />Department DCl <br />BPW Date 6/12/18 Phone Extension 5841 <br />Legal Z Attorney Name Clara McDaniels <br />Controller z 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 z <br />Agreement <br />❑ Professional Services <br />Bid Opening <br />F-1 Quote Opening <br />F-1 Change Order No. <br />F-1 Ease/Encroach. <br />F-1 Other.- Amendment <br />Contract <br />E W - a 0 <br />H1 4 r rt a <br />72159TOTIM. <br />E] Req. to Advertise <br />am <br />Company or Vendor Name Department of Commiunitv Investment <br />New Vendor El Yes Z No El If Yes, Approved by Purchasing <br />MBE/VVBE Contractor E] MBE R WBE <br />MBE/WBE Contractor Requested Z No R Yes Name ofCompany <br />_ <br />Project Name Community Development Block Grant Administration <br />Project Number 18-JC-99 <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of F1 <br />El <br />Community Development Block Grant (CDBG <br />212.1001.460.39.30 <br />$400,000 <br />1/011/18 β€” 12/31/18 <br />FWAR651MIT, <br />[] Title Sheet <br />Reimburse department costs for administering CDBG grant <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc. <br />Increase <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: % 'β€”teβ€” <br />Dispersal Afr Approval <br />Copy. Original <br />H F-1 Judy Love <br />0 <br />n El <br />