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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date September 18, 2018 <br />Name Pain Meyer Department DCI <br />BPW Date September 25, 2018 Phone Extension 5845 <br />.. . . ....... . . — <br />mm <br />Controller <br />Purchasing <br />if Agreement <br />❑ Professional Services <br />❑ Bid Opening <br />E] Quote Opening <br />0 Change Order No. <br />F-1 Ease/Encroach. <br />F-1 Other: <br />Attorney Name Sandra Kennedy <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 />El <br />ie ApprcqHLa1,9 Item, Type — R6quired forAll Submissions <br />F1 Contract 0 Proposal E] Addendum <br />E] Resolution <br />F-1 Bid Award Req. to Advertise Title Sheet <br />F1 Quote Award <br />F-1 C/O & PCA No. F-1 PCA <br />[:] Traffic Control <br />Company or Vendor Name Indiana Housing and Community Development Authority (IHCDA) <br />New Vendor E] Yes Z No [:] If Yes, Approved by Purchasing <br />MBENVBE Contractor [-I MBE F-1 WB,E <br />Project Name Lead Hazard Reduction Demonstration Grant Program <br />Project Number <br />Funding Source Lead Hazard Reduction Federal Funding through IHCDA <br />Account No. <br />Amount $ 528,951.00 <br />Terms of Contract <br />Purpose/Description <br />8/31/18-1/29/2020 <br />To administer a program to identify and control lead -based paint hazards in <br />eligible privately owned rental or owner occupied housing units <br />[:1 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non: -Debarment, E-Verify, Iran, etc,) <br />Amount of F1 increase <br />El Decrease <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />0 <br />Dispersal After Approval <br />Copy <br />Original <br />Pam Meyer, DCl <br />F-1 <br />F <br />1-1 <br />El <br />