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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 12 2019 <br />Name Pam Meyer Department DCI <br />BPW Date June 25 209 Phone Extension 5845 <br />AFi,�,!8'd�ru � i iiuii iiiii „!�Y�M�m�i^TwnH,s arumr^,NMI'M'NIVIIV�Wfifl[fiA',utl�b`4C�°fi'iIIVII���S��ittxMxAMM�RIBY'�PM6N:m.. �' 33M9vFn'%HHW@AMM'r�iNPo84�@ttR@@@'�.N.491VMIVIVMNIIPIPIWMMGId@@@'Wltlpd(u�I�P�WN/�a ^�mrmry���p <br />_m �. ................e.�.e Ce ����•d Prior to.�� Submittal to _ Board <br />B � �.... .....__.� �...�..__..._.....m.. <br />__ .m ...�� �.�...... <br />.�_ �. __ ......... _..... 1..... <br />BPW Attorney ® Attorney Name Clara Mc Daniels <br />Dept. Attorney Z Attorney Name Sandi Kennedy <br />Purchasing ® Michael Sclinaidtt _.. <br />Check the <br />N Professional Services Agreement <br />E] Open Market Contract <br />E] Bid Opening <br />❑ Quote Opening <br />Proposal Opening <br />Chg. Order, No. <br />Other: <br />t Item' <br />Contract <br />❑ Amendment/Addendum <br />❑ Bid Award <br />❑ Quote Award <br />❑ C/O & PCA No. <br />❑ Traffic Control <br />t�squired Information <br />All Submissions11 <br />Proposal <br />E Special Purchase, QPA <br />❑' Req. to Advertise <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheet <br />Terms of Contract <br />May 1, 2019 Mom' 31 2020 <br />Purpose/Description <br />Support for 3 community outreach workers to conduct program/street level <br />outreach/ provide education and recruitment for eligible families for lead grz <br />assistance <br />� � <br />.. For Cling Orders C �t ...�..m <br />Amount of <br />Increase $ .. �.. <br />Decrease$ ) <br />Previous Amount <br />$ _..................................e............................................................�......�................_� <br />Increase.............................................�.�......................................�...WW...�..... <br />w <br />Current Percent of Change: <br />m........... <br />Decrease %) <br />New Amount <br />$ <br />..... _______..... ____...... _. ................................ ____..... <br />......... <br />Increase % <br />Total Percent of Change: <br />_______- <br />Decrease %)yn yyyymyyyyy ay ......... _.._ n ..... �.. <br />Time Extension Amount: <br />New Completion Date: <br />