Memorandum of Understanding - Harvard Kennedy School - Free Technical Assistance Shared Mobility Programs

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 5-6-19 Brian Donoahue Department Innovation BPW Date 5-14-19 Phone Extension 7652 . ................ Required Prior to Submittal to Board Legal ® Attorney Name Kennedy Controller ® Controller review is required for all Contracts $5,000.00 or more anc greater than one year in length per the City Purchasing Policy Purchasing Check the N Agreement Professional Services Bid Opening ❑ Quote Opening Change Order No. D Ease/Encroach. 0 Other: iroprlate Item Type Contract ❑ Resolution ❑ Bid Award ❑ Quote Award ❑ C/O & PCA No. E] Traffic Control for All Submissions I Proposal ❑ Addendum ❑ Req. to Advertise ❑ Title Sheet ired Information Company or Vendor Name Harvard Kenned New Vendor Z Yes No MBE/WBE Contractor MBE E] WBE MBE/WBE Contractor Requested ❑ No ❑ Yes Project Name Project Number .......... Funding Source�.�._._._........... Account No. Amount ❑ PCA ,nooi +government-ertormance If Yes, Approved by Purchasing Name of Company Terms of Contract 5/20/2019 — 5/20/2020 ..._._ ............................... .......__---------------- t Purpose/Description MOU for free technical assistance related o shared mobilit programs ® Required Contractor's Certification Form Attached (Non - Collusion, Non -Discrimination, Non -Debarment, E-Vent Iran, etc. Required For Change Orders Only Amount of F] Increase $ ❑ Decrease Previous Amount $ .$....................��—..............__._.......................... Current Percent of Change New Amount Total Percent of Change: Dispersal After Approval Copy Original ® ❑ Denise Reidl ® ....................................... ❑ Sonja Karnovsky ® ......... .................................................. ............................. ❑ Brian Donoghue