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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/15/2019 <br />Name Daniel Parker Department Administration & Finance <br />BPW Date 3/26/201 Phone Extension 9822 <br />Required Prior to Submittal to Board <br />BPW Attorney [ Attorney Name <br />Dept. Attorney Attorney Name Elliot Anderson <br />Purchasing Daniel Parker <br />Check the A i zoo riate Item Type —Reg4o <br />Professional Services Agreement n Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑, Bid Award <br />[❑ Quote Opening ❑ Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />F] Other: <br />Information <br />All <br />LJ Proposal <br />EJ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />E] Resolution <br />I] Ease./Encroach <br />❑ Title Sheet <br />Company or Vendor Name H.J. Umbau h & Associates <br />New VendorYes[� If Yes, Approved by Purchasing <br />No <br />MBE/WBE Contractor F] MBE ❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name Bond Continuing Disclosure Services <br />.... ....................... .. _...................................... <br />Project Number None <br />Funding Source 101 General Fund <br />_..... ......... .....__. <br />Account No. 101-0401-415.31-06 <br />Amount NTE $15000 <br />....... ....... ................. <br />Terms of Contract <br />Purpose/Description Services to ensure the City complies with all continuing disclosure filings a <br />required by the Municipal Securities Regulatory Board (MSRB) for <br />outstanding debt issuances. <br />For C1�Li e Orders On1 <br />Amount of ❑ Increase $ <br />Decrease <br />❑ ($ � <br />........____________________________ <br />Previous Amount $ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />( % <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />( % <br />Time Extension Amount: <br />New Completion Date: <br />