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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date March 12, 2019 <br />Name Michael Divit Department DCI <br />BPW Date March 26, 2019 Phone Extension 5843 <br />�r iuiw�.w.�wmiwiv�uuur����rw,�rvraowuuuuuuuu�ux�ux�u�u�u�u�usui�uieiuim�i ����m�ua�.�.nuumwww��rr�w�w�r�mr�z:��,m;�r�uuw�wiwir�i�» mme.�rmrresa �..r�u��..ad rt�a, m�nw�:�� ,.n <br />Rec uired Pnor to Submittal tomBoard---...... .--.._.. <br />BPW Attorney ® Attorney Name <br />Dept. Attorney Attorney Name Sandra Kennedy <br />m,......... <br />_... .. �..... . <br />Purchasing El <br />Check the Appropriate Item Type — <br />Professional Services Agreement ❑ Contract <br />Open Market Contract ❑ Amendment/Addendum <br />❑ Bid Opening <br />[l Bid Award <br />Quote Opening <br />Quote Award <br />ProP Opening <br />C/O &PCA No. <br />Chg. Order, No <br />Traffic Control <br />❑ Other: <br />Information <br />Company or Vendor Name La Casa de Ainistad, Inc. <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />All Submissions <br />❑ Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Yes❑ If Yes, Approved by Purchasing <br />❑ Title Sheei <br />® No <br />❑ MBE Completed E-Verify Form Attached ® Yes <br />❑ WBE ❑ No <br />West Side South Bend Event & Marketing Services <br />C_OIT <br />404-1001-460.3 9-7.......................................... <br />_ 9 / 19JW0I <br />0 <br />Provide event marketing, and promotional services to sulVort the WestSic <br />Main Streets Initiative <br />For Cl an � Orders t � mm ITmmm <br />increase <br />Amount of Decrease$_....,.. <br />$ ) <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease % <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />