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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/18/2019 <br />Name Lory Timmer Department DCI <br />xp.. ____... _.m ��Xwr®,mwai�omrexmrxutter",w�. <br />BPW Date 8/13/2019 5841 <br />Phone Extension <br />".:Afiu�YMM�PIYNNi�BYINI�%�%rlfF/ilS'L,,,,.21'➢494PJ11G".5'11WMdk�v.i,�::.,.�aa.��.�¢w.'mt&ttrvPJ11YA'fiiMWPi.WiIIW�149VNiM1MMYIFsfs ffxTR�WNBfIw�'J,PI�w'6U�P����PI�M.igPb .:+�fuMr� .N^mina ,s5 a „Y"'k"iPIA . r,�,�,,._: .MT�nG ° <br />" or to Submittal to Board <br />..._. m..w . .._...,,_.. w..w. <br />Rc¢)rrr cd Prior mw - .......... <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney N Attorney Name Sandra Kennedy <br />Purchasin <br />g Z Michael Schmidt �� . ��....... <br />Check the Adpr op rrtc Item 1�1 <br />Professional � ❑ onal Services Agreement ZI Contract <br />El Open Market Contract El Amendment/Addendum <br />E] Bid Opening El Bid Award <br />E] Quote Opening ❑ Quote Award <br />Proposal Opening [ C/O & PCA No. <br />Chg. Order, No. Traffic Control <br />Other: <br />i- All Sub <br />LJ Proposal <br />Special Purchase, QPA <br />(❑' Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />aEase./Encroach <br />❑ Title Sheei <br />Companyor Vendor Name <br />Investment <br />—�D t <br />�A��r�roved <br />New Vendor <br />Yea��If Yes, b <br />pp y Purchasing <br />® No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ® Yes <br />❑ No <br />Project Name <br />Community Development Block Grant (CDBG) Administration <br />Project Number <br />1��� <br />„9 JC-99 ..... ... _ &D..5ar ...... __ .. <br />Funding <br />_�Communtv Development Block.mGrant O <br />Account No.Source <br />... ........_. <br />212.1001.460.39.30 <br />Amount <br />$3 92,000.00 .. .......—__—...... . <br />..m.,_. <br />Terms of Contract <br />--.... — ..... ....... _�_.e �� _...��� .........— _...,, —.,..— --- ---------- <br />1 /01 /2019 12/31 /2019 <br />Purpose/Description <br />_ <br />Subsidise cos for dr inistcriti t11c 'rt 's :gininunrt � cvclo �nl nt B _..... <br />Grant <br />....... _._...... .....�.. _— .,. <br />,. ...... — <br />For Clirtge Orders ,Only _ <br />_--„mm� .....� .. . <br />Amount of <br />In�� ,_ <br />crease $ <br />Decrease <br />Previous Amount <br />$ <br />..... —_................. ........-- <br />..._ <br />Increase <br />... ..... .....o�����������.... <br />/o <br />Current Percent of Change: <br />Decrease <br />% <br />New Amount <br />$ <br />.................... <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />................ ---- ........ __........... m,,...................,..__. <br />....... ... .............� <br />