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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/21 /2019 <br />Name Patrick Sherman <br />Department VPA <br />BPW Date 02/26/2019 Phone Extension 5601 <br />Mfl'rP/,@@@iIIWIV�IWIVIWWVIV�NO��II�II�VIVIiIf�Id�O INNV1Pi ,'RYp NNNW.1 p//q p�yq�p �q��������i��yy <br />Re aired Prior to Submittal to Board <br />Legal ® Attorney Name Clara McDaniels <br />Controller ® Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing <br />Check the <br />Agreement <br />Professional Services <br />Bid Opening <br />❑ Quote Opening <br />❑' Change Order No. <br />Ease/Encroach. <br />Other: <br />Michael Schmidt <br />�ropriate Item Ty - <br />❑ Contract <br />❑ Resolution <br />❑ Bid Award <br />El Quote Award <br />C/O & PCA No, <br />El Traffic Control <br />Company or Vendor Name TBD <br />for All Submissions <br />I Proposal Award <br />® Req. to Advertise <br />Required Information <br />❑ PCA <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑ Yes ❑ No If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />MBE/WBE Contractor Requested ❑ No ❑ Yes Name of Company <br />Project Name 2019 LAWN MAINTENANCE & MENTORSHIP PROGRAM <br />......__....... .........�.. �ds_..................... . <br />Project Number 1082-2018 <br />Funding Source K61-PROP <br />Account No. 201-1101-452-39.89 <br />Amount Not to Exceed $20,000.00 <br />w m,,,,,,........ �. ._ . Terms of Contract June 1 st 2019 through August 31 St 2019 ..... <br />Purpose/Description Providingmentorshi through lawn maintenance em to ment. <br />Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran eta_ Required For Charge Orders Only <br />Amount Decrease �_.... .......�. _.. �t� __ <br />Increase $ $ nt of ❑ -� <br />��,.��._......�.��....m �.....� �,,,,.._............_ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: m.......... % m,,,_.._............_ <br />Dispersal After Approval <br />Copy Original .- <br />F-1 El <br />❑ 1 <br />