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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date June 17, 2019 <br />Name Mich a el to Department DCI <br />BPW Date June 25, 2019 Phone Extension 5843 <br />YiMIV iii illllllllllmmml imlmlmlmlmlllllllllllllll t/ MPi /i �'(f 'A,Y ln�!0,'(Y,lYIXY/,iYdnYr9X5HlA/, .. urwmm rvsmausmrr �NNBY;W��ir' W9�'WYIW.M1'fl�"AMY.Mm'��M II�rY r lYiirid%YJYY m�affifHHus;�—�trm�vvs�m s aw, WlGN4 <br />_......... ...._ . .... ................... <br />Ie uxred Prior to Submittal to Board _..._.. <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney Attorney Name Sandra Kennedy <br />��. ............................. _ <br />Purchasing ❑] <br />_ _Check the A p op ia.te Item Type - d�ewA <br />Professional ServicesAgreement[:] Contract <br />Open Market Contract F] Amendment/Addendum <br />❑ Bid Opening ❑ Bid Award <br />❑ Quote Opening E] Quote Award <br />�j Proposal Opening F1 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 />" Proposal <br />F] Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />E] Resolution <br />[ 1 Ease./Encroach <br />❑ Title Sheei <br />Jennifer L. Settle, LLC <br />Ye� .... .......... .... ..- <br />s If Yes, Approved by Purchasing <br />No <br />❑ MBE Completed E-Verify Form Attached ® Yes <br />❑ WBE ❑ No <br />Zoning Ordinance Teacher's Edition & ADU Design Guidelines <br />DCI Admin <br />211.1001.460.31.06 / 18J028 <br />$43,200 <br />Develoonient of ex lanatormateriat.CQ nance Lijdg and guidclines) <br />related to new zoning ordinance <br />....... �.... ......_ . _�' <br />For Change Orders Onl <br />Amount of Increase $ <br />❑ Decrease ($ ) <br />..,..--------- .............................. <br />Previous Amount $ <br />Increase % <br />---- ..___----- <br />........... <br />Current Percent of Change: Decrease .....(....................... %) ....������__m..m...�....m......................... <br />.m.......................................................................................................................................................................... <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( %) <br />Time Extension Amount: <br />New Completion Date: <br />