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BOARD OF PUBLIC WORKS, <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 8/14/18 <br />Name Lary Timmer - ------ Department <br />Am <br />BPW Date 8/28/18 Phone Extension 5841 <br />Regluired Prior to Su4m ittal tee B,,'9arq_,, <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 />F-1 Professional Services <br />F-1 Bid Opening <br />F1 Quote Opening <br />Change Order No. <br />โ‘ Ease/Encroach. <br />F-1 Other: Amendment <br />Contract <br />F-1 Resolution <br />F1 Bid Award <br />El Quote Award <br />0C/O & RGA No. <br />n Traffic Control <br />[:] Req. to Advertise <br />am <br />Company or Vendor Name Department of Community Investment <br />New Vendor E] Yes Z No [:] If Yes, Approved by Purchasing <br />MBE/WBE Contractor F-1 MBEF1 WBE <br />MBE/WBE Contractor Requested Z NoF] Yes Name of Company <br />Project Name Historic Review of Federally Funded Projects <br />Project Number 18-JC-06 <br />Funding Source Community Development Block Grant (CDBG) <br />Account No, 212.1001.460.39.30 <br />Addendum <br />El Title Sheet <br />Amount $5,000 <br />Terms of Contract 1/01/18 โ€” 12/31/18 <br />Purpose/Description Subsidize staff costs of performing historic reviews for Tederally <br />funded projects <br />M Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc. <br />Amount ofโ‘ increase <br />Decrease <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />Judy Love <br />โ‘ <br />F-1 <br />