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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 3/27/19 <br />Name Ken Smith th Department Utilities <br />BPW Date 4/9/19 Phone Extension 5787 <br />MOMWEIN <br />-- ........... <br />.. RNuired Prior to Submittal to Board <br />BPW Attorney Attorney Name Sandra Kennedy <br />Dept. Attorney Attorney Name <br />Purchasing ® Michael Schmidt <br />Check the Appropriate ItemType — <br />M Professional Services Agreement ❑ Contract <br />F-1 Open Market Contract <br />F-1 Amendment/Addendum <br />❑ Bid Opening <br />F I Bid Award <br />0Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />Fj C/O & PCA No. <br />El Chg. Order, No. <br />El Traffic Control <br />[l Other: <br />Company or Vendor Name <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 />Information <br />All Submissions <br />U Proposal <br />E] Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />El Resolution <br />EJ Ease./Encroach <br />❑ Title Sheel <br />� uitas Solutions <br />Yes If Yes Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />City of SouthBendMaximo Managed Services <br />Other Contractual Services <br />_.._.._ �.. ..__........ ......... _...._-ww - <br />.-....._.... _. <br />641-0630-793-3605 <br />..... a_..._. �.... <br />12 Months <br />Contract services to rovide database downloads, ............. ass p ds, SQL server assistance, <br />BIRT reporting and mass downloading into the hosted <br />database. <br />_ For Clad Orders Only <br />Amount of Increase $ <br />F] Decrease $ ) <br />Previous Amount $ <br />Increase % m <br />Current Percent of Change- Decrease ) ... <br />New Amount $ <br />..... ...... .... <br />Increase % <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />