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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 25? 2019 <br />Name Pam Me er Department DCI <br />BPW Date March 12 2019 Phone Extension 5845 <br />r•'y ,, ,. Hwwwwwwwwwwwwwwwwwumrvaeuwmir�m�r �mvr�ew......, uu�unummme�wde�s�uerr���i:;�m�o�rw�waa�mmm�mmmmmmmm�m�mmmmm�mm�mmmmm�m�mmm�wuuumwu�wrvu� <br />Check the A t' a wt Items �e - ec i� ed r All Submissions <br />Professional Services Agreement Contract ProposalmmITITmm ....._... <br />Open Market Contract [1 Amendment/Addendum Special Purchase, QPA <br />Bid Opening 0 Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />Quote Opening Quote Award E] Reject Bids/Quotes <br />Proposal Opening [❑ C/O & PCA No. [:] PCA <br />Chg. Order, No. Traffic Control F-1 Resolution <br />Other: <br />Ease./Encroach <br />Required Information <br />Company or Name <br />Indiana Housingl� and Community Dev ;� ainent utho 11-1CD ) <br />Yes, Approved by Purchasing <br />New Vendor New <br />O No <br />MBE/WBE Contractor <br />❑❑ WBE Completed E-Verify Form Attached <br />El Nos <br />Project Name <br />IFPN Mortgage Foreclosure Counseling _ <br />Project Number <br />_ <br />Funding Source <br />IHCD�A..._...State of Indiana <br />Account No. <br />Amount <br />See Purpose <br />mmmm.m... ........ . . ____ -- �..... <br />Terms o Contract <br />ry 1 _ <br />January , 2019-December 31, 2019 <br />Purpose/Description <br />Fee for service contract -City is paid for foreclosure counseling to eligible <br />applicants based on rates in contract; applicants referred through and/or <br />eligible under Foreclosure Prevention <br />Network............................_......................_........................................,.................__�� ���..m.. <br />For C.'ha ge Orders Only <br />Amount of <br />Increase $ <br />Decrease ($ <br />Previous Amount <br />.....� �. �....___ <br />$ <br />.... <br />Increase <br />Current Percent of Change: <br />....................%)...........................�......�.—_ <br />Decrease <br />New Amount <br />$ .w__._....., <br />................... /oo������.��........�........ ��.� �w — ..... —. �...........................................�W � � � � . ..... <br />...... Increase <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />