Resolution No 24-2019 - Laserfiche WebLink

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name July 16. 2019 Cara Grabowski Public Works BPW Date July 23, 2019 Phone Extension 5819 �!wuvunws��mmw�rawauumnxdp�xxu��rrwrr�Hrrmm�rrv��rhtN �rsaonono,�w.��,�.��,urr�r,��u�w,�www�uauuw¢u�om�Mmw�w��imm��w�uv�udumw¢a�w�uw�uv�uuuuumiwwauu iyiw�w�a�ww,.+.. „mz�y��mvia,�,r�t�. Req uird Prior to Submittal to Board ..... _. ._. .. __.. ._ ........ .......... BPW Attorney X Attorney Name Clara McDaniels Dept. Attorney Attorney Name .......... ........ Purchasing ❑ Check the Appropriate Item Type 0 Professional Services Agreement F� Contract 0 Open Market Contract ❑ Amendment/Addendum ❑ Bid Opening ❑ Bid Award E] Quote Opening ❑ Quote Award Proposal Opening [—] C/O & PCA No. Chg. Order, No. ❑ Traffic Control Other Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information All Submissions �j Proposal Special Purchase, QPA ❑ Req. to Advertise ❑ Reject Bids/Quotes PCA Resolution Ease./Encroach ❑ Title Sheet ❑ Yes If Yes, Approved b Purchase ❑ pp Y .ng No ❑ MBE Completed E-Verify Form Attached Yes ❑ WBE �], No Public sculpture donation Transfer the ownership of a sculpture from the St. Joseph County Airport Authority to the City of South Bend. ..... _ __ _-.........._ For Change Orders Qnfl ..._ _... _ .. In._. _ ..... _ Amount of crease $ Decrease (' ) Previous Amount $ Increase Current ....................................................................... �.....�w �....�...�.�.........�....................................................................�wwwww.�.. Current Percent of Change: Decrease ( %) _..... �______� . __�.�,..................... . New Amount $ Increase /o Total Percent of Change: Decrease %) Time Extension Amount: m .e..... _m,........ New Completion Date: