Addendum - Urban Enterprise Association - V2V Repair Matching Grant Agreement

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date November 1, 2018 Name Pam Meyer Department DCI ................. ----- -...., BPW Date November 13, 2018 Phone Extension 5845 ,awnfflhu�u� � � �u�uiw�u�ui�ui�u�u�u� n��rrrrrrvvvrr��w r�� , �.cc;,..<,_,;, -�trrmmua nvrvrvrvw,mr .- .:�^ �,„,„�rrrm�o, rrww rrwan�� , , ..,cr...„:�ur�..,^,rrruireuuurauiuiwimiuiuiuiuiuiwwwwMnvsr _....... Required al to Board „� _....,.. w.. �.... Prior to Submittal —w.. �.... _....__ Legal ® Attorney Name Sandra Kennedy Controller El Controller review is required for all Contracts $5,000.00 or more and greater than one year in length per the City Purchasing Policy Purchasing 0 Agreement Professional Services Bid Opening F1 Quote Opening El Change Order No. _ Ease/Encroach. Other: rrb riate Item °Type Re�ri Contract El Resolution ❑ Bid Award ❑ Quote Award ❑ C/O & PCA No.. ❑ Traffic Control )r All Submissions Proposal Addendum ❑ Req. to Advertise ❑ PCA Required Information Company or Vendor Name Urban Ent . _� Enterprise Association off South Bend Inc.(UEA New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description J Yes ZI No U If Yes, Approved by Purchasing MBE ❑ WBE V2V Repair Matching Grant Agreement ❑ Title Sheet Funds 227 and 408 105, 498.81..... ......__ ... .H-- ............. 10/O1/14. __......... .�...�.... -12/31/18 Provides for an early agreement end date of November 13, 2018 instead of December 31, 2018. ❑ Required Contractor's Certification Form Attached (Non - Collusion„ Non -Discrimination, Non -Debarment E Verify, Iran etc.) Required For Change Orders Only Amount of [_1 Increase $ El Decrease $ Previous Amount $