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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Februag 15, 2019 Department DCI <br />BPW Date February 26, 2019 <br />. ..... . Phone 584,3 <br />Name Michael DivitaW <br />0 Legal <br />0 <br />ca <br />0 R Controller <br />E c <br />Purchasing <br />Check the A <br />-Agreement <br />Claim <br />Bid,.Ope�nin, <br />Quote�Oeninc <br />Chi Order No, <br />Ease./Encroach. <br />Other: <br />Company or Vendor Name <br />New Vendor <br />—BI f/- W-- B "E" C-"o—n -t r' a c' t or <br />P�ect Name <br />Project Number <br />Fund ina Source <br />Account No, <br />Amount <br />- - -- - — ----- ..... <br />Terms of Contract <br />'Purp'o'-se" /D —es cr-i p t i -o -n <br />Attorney Name Sandra Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />and greater than one year in length per the City Purchasing <br />Policy <br />ropriate Item T <br />7-Contract —- <br />Bid Award <br />Quote Award <br />bl—O -&P C-A No <br />Traffic Control <br />Required for All Submissions <br />-1-1.1-M- Proposal ---- --- . . ..... . . r <br />Req. to Advertise <br />PCA <br />Res 6I6 Fion <br />Rec ired Information <br />Urban Enterprise Association of South Bend, Inc. <br />Yes MBE�`B E Yes, Ar^roved <br />by Purchasir <br />-1 <br />West <br />e- Main Streets M <br />a t c —hi n—g Grant Program <br />COIT <br />404.1001.460.39.30 19JX01 <br />$200,000 <br />=511 <br />I E, --for ChangeOrders <br />e <br />Amount of E Decrease <br />Addendum <br />Title Sheet <br />