Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/30/2019 <br />Nam e Lor riminer Department DCI <br />BPW Date 8113/2 0"1.9 Phone Extension 5841 <br />I�v1v9FGFznaN.3�z.�"ar RNltlfMft��s :.... �YMIN�YWHSY MGfMNNf/F v � ,:,,,-v��gWdWd�N!991NI�ilfllllPo�'WIRITNIWIII�i nIMiW,YN6dJW nmrsmwr+ .,,,,.,,.,,N;^'A i�'I'MYFMF.YkN,tWm�' fA.�Sfu(�NUUJRIJLIMVWIIWIII:'M <br />..._..._ .. `..aw Board l.ec t��t� Prior to Submittal to ,.... ..... _�.... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />Professional Services Agreement <br />F] Open Market Contract <br />F-] Bid Opening <br />F-] Quote Opening <br />Proposal Opening <br />❑ Chg. Order, No. <br />F 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 />Attorney Name Sandra Kenned <br />Michael Schmidt <br />of llo Items el� All Submissions �..._ <br />Z Contract <br />Proposal <br />Amendment/Addendum <br />( Special Purchase, QPA <br />❑ Bid Award <br />Req. to Advertise ❑ Title Sheel <br />❑ Quote Award <br />EJ Reject Bids/Quotes <br />C/O & PCA No. <br />PCA <br />❑] Traffic Control <br />❑ Resolution <br />Ease./Encroach <br />AIDS Ministries/AIDS Assist of North Indiana, Inc. <br />YesU If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached Yes <br />WBE No <br />Emergency Shelter Operations & Rapid Rehousing Activities <br />19-JE-02 <br />EmergencymSolution.....s Grant (ESG) <br />_.................. _....... .._....... <br />212.1001.460.39.30 <br />$22,000.00 <br />1/01/2019 — 2/12/2021 <br />Subsidize the cost of operating a homeless shelter <br />ForI i.1ig� Orders Only <br />Increase <br />_ $ .. _. <br />Amount of �..................... <br />Decrease $ ( <br />..�.. ..........)..... ____.....e- �.._..........._ m. <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease ( %) <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease % .. _www ... ........ .......... <br />Time Extension Amount: <br />New Completion Date: <br />