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IN "11 <br />BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />541101W <br />Lorv'Timmer <br />Department DCI <br />BPW Date 9/11/18 Phone Extension 5841 <br />...... . ...... . . . ..... <br />Legal <br />Controller <br />Purchasing <br />Che, <br />Agreement <br />F] Professional Services <br />R Bid Opening <br />El Quote Opening <br />❑ Change Order No. <br />❑ Ease/Encroach. <br />Other: Amendment <br />H� Attorney Name Clara McDaniels <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 />Contract <br />F-1 Resolution <br />R Bid Award <br />El Quote Award <br />❑C/O & PCA No. <br />❑ Traffic Control <br />Proposal <br />E] Req. to Advertise <br />Company or Vendor Name Community HomebuVers Corporation, Inc. <br />New Vendor E] Yes Z No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor E] MBEE] WBE <br />MBE/WBE Contractor Requested Z No F1 Yes Name of Company <br />Project Name, Homeownership Assistance Program <br />Project Number 18-JC-04 _­_.......­ ... . ... . ..... <br />Funding Source Community Development Block Grant (CDBG) <br />Account No. 212.1001.460.39.30 <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Amount of F-1 <br />El <br />El Title Sheet <br />1/01/18 — 12/31/20 <br />Provide mortgage reduction and closing cost -assistance to low -mod <br />income first-time homebuyer <br />M 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 <br />Original <br />n J <br />❑ <br />El <br />❑ <br />El <br />Love <br />Dispersal After Approval <br />