Authorization Letter - Indiana Gaming Commission - Use of Studebaker Museum Property

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date April 29, 2019 ...... Name Daniel Parker Department A&F BPW Date Ma 14 2019 Phone Extension 9822 CNNMM _ ;qur Pnor to Submittal to Board ..� _____ .... �._........... . ...._ BPW Attorne y ® Attorney Name McDaniels Dept. Attorney Purchasing Attorney Name Anderson Check the Awrooriate Item TvDe — Reauir ( ❑ Professional Services Agreement ❑ Contract F] Open Market Contract Amendment/Addendum E] Bid Opening [:] Bid Award Quote Opening F-I Quote Award ❑ Proposal Opening ❑ C/O & PCA No. ❑ Chg. Order, No. Traffic Control Other: Authorization Required Information All Submissions LJ Proposal Special Purchase, QPA Req. to Advertise F] Reject Bids/Quotes PCA ❑ Resolution Ease./Encroach ❑ Title Sheer Company or Vendor Name Studebaker National Museum ❑ Yes❑ If Yes, Approved by Purchasing New Vendor ® No MBE/WBE Contractor ❑❑ ❑ MBE Completed E-Verify Form Attached ❑ Nos Project Name m...... _.................... Project Number . ...... ... Funding Source _... _...... Account No. . .._............. Amount Terms of Contract _...... ............_._................. __.... Purpose/Description A.........._ ................................. . ..___ ______.. ..........._ uthorization letter for annual Studebaker National Museum car raffle. Permission has been granted in prior years. Board's approval of authorizati letter is requested. Amount of Increase $ ❑ Decrease ($ ) Previous Amount $ Increase % Current Percent of Change: Decrease ( %) New Amount $ ................. _u.... Increase % Total Percent of Change: Decrease Time Extension Amount: New Completion Date: