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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />February 18, 2019 <br />Department Community <br />Alke na Aldridge Investment <br />...._ ..... ....m..� <br />BPW Date Februa 26 2019 Phone Extension 5896 <br />�iuuwir�iwnwuvw.wuuwiuiuwiuiuv�uwwi�mrwwaww�wwmrovmarrrr�.�;�c�>;;m„m,�HiHmHiHUHUHUHUHi !ww�uwuWiuiuiuiuwim�.m......,,,—,.uuumu�unrs�mimuuuuuuuuuuurmrtamrc��mmnrr,:.�.zniu��uwra��ummu�w�di.�wio�rnnmxi:nvnn� rza�,��oiMrrt„momimom�wa�m�urvurvr�r�rrnwwxi.arrt �„�..a�wrr��a�,w,w,w,w,w,w,uw,w,w,w,w,w,w,�mmwerwr�n:�a <br />Re aired Prior to Submittal to Board <br />_. <br />Department <br />Attorney: <br />Sandra <br />Legal ® Kennedy <br />BPW Attorney: <br />Clara <br />McDaniels <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 ❑' <br />Check the <br />Z Agreement <br />El Professional Services <br />[:] Bid Opening <br />El Quote Opening <br />F] Chg Order No. <br />❑ Ease./Encroach. <br />Other: <br />ate Item Tvoe - <br />L. Contract <br />❑ Amendment <br />❑ Bid Award <br />E] Quote Award <br />C/O &PCANo <br />Traffic Control <br />Required Information <br />d for All Submissions <br />Proposal <br />Req. to Advertise <br />❑ PCA <br />❑ Resolution <br />Claim <br />Addendum <br />❑ Title Sheet <br />Company or Vendor Name <br />Neighborhood ResourcesC ne <br />Yes If Ye A Purchasing <br />Approved y b sing <br />New Vendor <br />No <br />MBE/WBE Contractor <br />❑ MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Project Name <br />Nei hborhood Resources Connection 2019 Program Agreement <br />Project Number <br />TBA <br />Funding Source <br />_.... <br />Nei hborhood Organization Support <br />Account No. <br />m_ .................. --- ..r--- ------ <br />40871001-460.39-30 <br />Amount <br />Not to exceed $100,0 00 <br />...Marc ......... _� __��_ __ <br />Terms of Contract <br />..,._. .�. ............... .... ....__-. <br />h 1 „ 2019-December 31, 2019 <br />Purpose/Description <br />NeiLkb6rhood Programs &Services <br />__.._ ...._...... .. or ChgOrders <br />............ <br />Amount of El Increase $ mm <br />El 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 />