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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/18/2019 <br />Name Lory ......._ ..._ -......... ............_..... <br />Timmer Department DCI <br />BPW Date 8/13/2019 Phone Extension 5841 <br />mr�mt: .,.m�uz�wrm� �: �u�,,_ �rxdna , ... vnr ������+va�nininunirnoavmr °ra r, ... � r ow.�mai�ua.. mm000immmmmmmmwwav�uvur�n m..�x: �a.... ,w ,i�va rw�,:mmm�,a�wuu wwwwauw�.wwwwwwwwwwww���.V ,rs; �YOM� — s�s�an^ mma <br />........_„ <br />Rcq�iw%l,Prior to_Submittal to Board <br />BPWAt . _:::: e...mm .................. <br />.�........... <br />.. <br />Attorney Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />k Attorney Name <br />al <br />Michael Schmidt <br />Check the _. _ m 1 y �,e` t <br />E] Professional Services vAgreement ��Contra <br />ct <br />EI Open Market Contract Amendment/Addendum <br />❑ Bid Opening Bid Award <br />❑ Quote Opening E] Quote Award <br />[] Proposal Opening [I C/O & PCA No. <br />❑ Chg. Order, No. Traffic Control <br />Other: <br />Sandra Kennedy <br />ieq d Infonnation <br />fi All .... Submissions <br />U Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />❑I PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />����irty Investment <br />Companyor Vendor Name l�)c Yes t �.�If Yes, �A _�..�.._.. �..�.. --- -----------a <br />h_. <br />New Vendor Approved by Purchasing <br />® No <br />MBE/WBE Contractor ❑❑ MBE Completed E-Verify Form Attached ❑ Nos <br />Administration <br />Project Name Emergency Solutions Grant (ES----Administ ............................................. <br />Project Number 19-JE-01 <br />Funding Source Emergency Solutions Grant ES�G) <br />Account No. 212.1001.460.39.30 <br />-..._m .._ ......... ....------- ----- .. ............... <br />Amount $2,000.00 <br />Terms of Contract 1/01/2019 - 12/31/ — � <br />_ _ 2019 <br />Purpose/Description Subsidize costs forwadminis tlic City�s Emer enc So <br />tenn' gw w y Solutions Grant <br />_ ........ ,Forr Chang ...Orders Only.... , _ ._ <br />Amount of Increase $ _____ <br />Decrease <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease % <br />Time Extension Amount: <br />New Completion Date: <br />