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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 04/16/2019 <br />Name Therese Dorau Department PW-Suastainahilily <br />BPW Date 04/23/2019 Phone Extension 9323 <br />I juired Prior to Submittal to Board <br />. ........ ....__ __ _....... _ .. ... <br />BPW Attorney ® Attorney Name Sandra Kennedy <br />Dept. Attorney Attorney Name Sandra Kennedy <br />Purchasing <br />Check the Aazcpriat Item "1 y�c m~ <br />Z Professional Services Agreement ❑ Contract <br />FI Open Market Contract E] Amendment/Addendum <br />❑ Bid Opening n Bid Award <br />Quote Opening E] Quote Award <br />Proposal Opening n C/O & PCA No. <br />�] Chg. Order, No. ❑ Traffic Control <br />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 />H Proposal <br />E] Special Purchase, QPA <br />]Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />E] Resolution <br />E] Ease./Encroach <br />❑ Title Sheet <br />Delta Institute <br />® YesE If Yes, Approved by Purchasing <br />❑] No <br />F-I MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />Climate Action Plan <br />Professional Services <br />................. ................._......... <br />.........._. <br />101-0616-419.31-06 <br />.............................. ._.._ <br />NTE $50,000 <br />Apr 2019-Aug. 2019 _ <br />_Complete a climate action plan withmGHG reduction strategies andtargets <br />For C iai ae Orders Onl <br />Amount of F] <br />Increase $ <br />.................. <br />E] <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />( %) <br />New Amount <br />$ <br />.......................... <br />Increase <br />........... <br />% <br />Total Percent of Change: <br />Decrease <br />%) <br />Time Extension Amount: <br />New Completion Date: <br />__............_..................� <br />.......... <br />