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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/13/19 <br />Name Daniel Parker Department A & F <br />BPW Date 3/26/19 Phone Extension 235-9882 <br />dMdNWdwVMONM A <br />.......................... ........ �..... ..»............r. _.........,.. <br />._,._... <br />11e��rr� Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name Catherine l�anello <br />Dept. Attorney ❑ Attorney Name <br />Purchasing ❑ <br />Elliot Anderson <br />Michael Schmidt <br />Check the A �prol�riatu Item °1' le m' l L� <br />.....��... .�� <br />Professional <br />l Services Agreement M Contract <br />Open Market Contract © Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />EJ <br />Proposal Opening C/O & PCA No. <br />E] <br />Chg. Order, No. Traffic Control <br />Other: <br />l cttr„. Information <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name <br />lst Source Bank <br />®es <br />YIf YA <br />es, PProved b Y Purchas ing <br />New Vendor <br />0 <br />No <br />MBE/WBE Contractor <br />❑ <br />[ <br />WBE Completed E-Verify Form Attached � Yes <br />[] No <br />Project Name <br />2019 1" Source Bank Banking Services Renewal Agreement <br />Project Number <br />None <br />Funding Source <br />.......... ............................ ......w� ....... <br />None <br />Account No. <br />None <br />Amount <br />$ None <br />Terms of Contract <br />Renewal of banking services agreement with 1st Source Bank �� .W__... <br />for atwo- <br />year period starting April 1, 2019 through March 31, 2021. Account fees <br />are netted against investment earnings. Interest earnings and account fees <br />are stated in the attachd roposal. <br />Purpose/Description <br />......... <br />For Ittttge Orders fail <br />Amount of ❑ <br />Increase $ m�mmmm ITIT_ <br />❑ <br />Decrease $ <br />Previous Amount <br />$ .......... .. _..�.......................... <br />Increase % <br />Current Percent of Change: <br />Decrease %)m... .. ......_...._..�a.�.,_, <br />New Amount <br />_ <br />$ <br />Increase % <br />Total Percent of Change: <br />.... ... <br />Decrease <br />Time Extension Amount: <br />New Completion Date m....... ��_ .. <br />