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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date January 15, 2019 <br />Name Daniel B,uckenmeye�r . . ...... . Department DCI <br />BPW Date January 22, 2019 Phone Extension 5823 <br />— —. . .............. . . - -"j-. . . .......... <br />Required Prior to Su6mital to Board <br />---- - --- - - Legal Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing F-1 <br />Check the A <br />"Agreement <br />F-1 Professional Services <br />Bid Opening <br />Quote Opening <br />Chg Order No. <br />F-1 Ease./Encroach. <br />F� Other: <br />riate Item TvDe - <br />X Contract <br />E] Amendment <br />Bid Award <br />Quote Award <br />C/O & PCA No <br />Traffic Control <br />for All Submissions <br />Proposal <br />E:1 Req. to Advertise <br />Reauired Information <br />El PCA <br />[-] Resolution <br />F-1 Claim <br />Addendum <br />El Title Sheet <br />Company or Vendor Name ..Ivy Tech Community College <br />New Vendor ElI Yes E] If Yes, Approved by Purchasing <br />X No <br />MBEA'VBE Contractor 1:1 WBE MBE El Nos <br />Completed E-Verify Form Attached <br />Project Name Pathways On Demand Program <br />. . .......... . . . . . . ............. - . . . . ................ <br />Project Number <br />Funding Source EDIT <br />Account No. 404-1001-460-39.30 <br />Amount $21,000 <br />Terms of Contract <br />Purpose/Description Training program to train necessary skills to under skilled workers <br />which will lead to wage increase/job promotion <br />For Ch.anqe Orders Only . ....... . <br />Amount of increase <br />Decrease <br />Previous Amount <br />Current Percent of Change: % <br />New Amount <br />Total Percent of Change: % <br />Time Extension: <br />.........................Dispersal After Approval ............................ ... . . . .................. <br />Copy Original <br />X F-1 Daniel Buckenmeyer, Community Investment <br />. . . .. ....... . .... . . . . . . ..... <br />X F� Judy Love, Community Investment <br />.... ...... . .... . .......... <br />X El Jacob Alexander, Community Investment <br />