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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 05/23/2018 <br />Department VPA: Facilities & <br />Name Patrick Sherman Grounds <br />BPW Date 05/28/2018 Phone Extension 5601 <br />........... - ....... - . .... . .... . - . ..... <br />Eqqyired Prior to Submittal to Board ITITmm <br />.......... . . . .... <br />Legal Z Attorney Name Aladean DeRose <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing z <br />Check the, <br />L Agreement <br />El Professional Services <br />F� Bid Opening <br />El Quote Opening <br />El Change Order No. <br />El Ease/Encroach. <br />F-1 Other: <br />Michael Schmidt <br />Topriate Item Type - <br />.................... <br />Z Contract <br />F-1 Resolution <br />F-1 Bid Award <br />0 Quote Award <br />El C/O & PCA No. <br />El Traffic Control <br />for All Submissions <br />Proposal <br />EJ Req. to Advertise <br />d Information <br />Company or Vendor Name University of Notre Dame Du Lac <br />El PCA <br />Addendum <br />E] Title Sheet <br />New Vendor El Yes Z No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor E] MBE F-1 WBE <br />MBE/WBE Contractor Requested E] No F-1 Yes Name of Company <br />Project Name 40th United States Senior Open Contract - Custom Trade Package <br />Project Number 1085-2019 <br />Funding Source N/A <br />Account No. N/A <br />Amount $ Goods and services per contract agreement <br />................................... - <br />Terms of Contract Through Tuesday following 2019 tournament <br />.... p' <br />Purpose/Description Mutual service and advertising 6're�e�ment for 201 en. <br />F-1 Required Contractor's Certification Form Attached (Non - <br />Collusion, Non -Discrimination , Non -Debarment, E-Verify, Iran, etch <br />��g�ired For Chan e Orders, Only <br />Amount of F] increase $ <br />EJ Decrease <br />Previous Amount <br />- - - — ­­­­ — ------- - - - — ---------- - - - Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Dispersal After Approval <br />Copy Original <br />El n <br />El El <br />0 El <br />