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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/22/19 <br />Name Jitin Kam Department pW <br />BPW Date 3/26/19 Phone <br />iExtension 5835 <br />semuuummmmmm�wfflH��Mfflpff <br />......................... ............... ..m.m.._......_.........._._......µ.............._�.�... <br />curved Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Sandra Kenned <br />Dept. Attorney ❑ Attorney Name <br />Purchasing E] <br />Check the Aimro riate Item Tvne — <br />Professional Services Agreement LJ Contract <br />E] <br />Open Market Contract Z Amendment/Addendum <br />0 <br />Bid Opening Bid Award <br />EJ <br />Quote Opening Quote Award <br />❑ <br />Proposal Opening ❑] C/O & PCA No. <br />E] <br />Chg. Order, No. ❑] Traffic Control <br />F� Other: <br />Information <br />Company or Vendor Name Neutron Holdings (DBA Lime <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 />r All Submissions <br />Proposal <br />U Special Purchase, QPA <br />n Req. to Advertise ❑ Title Sheet <br />E] Reject Bids/Quotes <br />[:] PCA <br />Resolution <br />Ease./Encroach <br />L_J YeslIf Yes, Approved by Purchasing <br />® No <br />MBE �] WBE Completed E-Verify Form Attached F] El Nos <br />Second Amendment to Bike Sharing Services Agreement <br />NA <br />_NA <br />NA <br />_Short term pilot of Lime e-scooters commencing upon agreement <br />approval and lasting till May 19, 2019. <br />For Clear ge Orders Only <br />Increase <br />Amount of $ <br />�] Decrease ($ ) <br />Previous Amount $ <br />Increase /o <br />Current Percent of Change: Decrease ( % <br />New Amount $��� <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />