Contract - Urban Enterprise Association - Love Your Block Grant

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date February 5, 2019 Department Name Sonja Karnovsky Community Investment BPW Date Februar 7, 2019 Phone Extension 9098 W Required Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney Z Attorney Name Sandra Kennedy .... . Purchasing El....__ �__�� Check the Approj)riate Item Type — Professional Services Agreement Z Contract ❑ Open Market Contract ❑ Amendment/Addendum 0 Bid Opening ❑ Bid Award Quote Opening ❑ Quote Award Proposal Opening ❑ C/O & PCA No. El Chg. Order, No. ❑ Traffic Control [l Other: Required q .red Information All Submissions L Proposal EJ Special Purchase, QPA El Req. to Advertise EJ Reject Bids/Quotes PCA ❑ Resolution ❑ Ease./Encroach ❑ Title Sheet Company or Vendor Name Urban Enterprise Association If Yes, A __..... ._u. � Approved by Purchasing New Vendor No—YC MBE/WBE Contractor F1 WBE Completed E-Verify Form Attached Nos Project Name Love Your Block fiduciary agreement Project Number TBA .................... ............... .-.._........ Love Your Block grant and City match subject to Council Funding Source appropriation _ITITITITITITITITITm Account No. 404-1001-460-39-30 Amount .....��_........___ $25,000 grant, $25,000 match Terms of Contract ..... _._...... 2 gears from Effective Date life of LYB grant .............. Purpose/Description UEA to serve as fiduciary agent for LYB program _. __.. _ _ .................W__ For Change Only, Amount of ❑ .0rders _.. ............w .......... Increase $ ....._.. [� Decrease $ ) Previous Amount $ ......_.��o/o Increase Current Percent of Change: Decrease ( %) _.. New Amount $ Increase Total Percent of Change: Decrease -(% Time Extension Amount: __..._ ....... ...... New Completion Date: