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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 7/18/2019 <br />Name Lor Tininter Department DCI <br />BPW Date 8/ i 3/20.19 Phone Extension 5841 <br />u rvra::... <br />,.:�sdMmi�mm� � ... rm.�.. nor �;� �.mamm�uruuaarmEm�mwxmrurmrovmmnr',�rx <br />lecuired Prior to SubmittaltoBoard <br />BPW Attorney 9--Attorney, Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name Sandra Kennedy <br />� Michael Schmid........--_____ee......................................�.�.�.�.�....... <br />Purchasingt <br />II Professional Services Agreement " Contract <br />Open Market Contract <br />El Amendment/Addendum <br />E] Bid Opening <br />Bid Award <br />EJ Quote Opening <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />Chg. Order, No. <br />Traffic Control <br />❑ Other: <br />Al <br />E] Proposal <br />El Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />[] PCA <br />El Resolution <br />Ease./Encroach <br />*part m� f Community Investment <br />Companyor Vendor Name Department o <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 />YesLJ If Yes, Approved by Purchasing <br />No <br />❑ Title Sheel <br />MBE ❑ WBE Completed E-Verify Form s <br />Attached ® No <br />Activity Delivery / Housing Counseling Programs <br />19-JC-98 __.....d�..��_...._ <br />Community y Development Block <br />. . ____ ... <br />212.1001.460.39.30 <br />$40,000.00 <br />1/01/20.�1..9...._....1..�___ _.. <br />2/31 /2019 <br />Subsidize DCI staff costs for housing inspection., larograiii coordination, ani <br />housing ounseling activitiswe_..................... <br />y .._m a <br />For ."ling Orders Only <br />_...__ _� _��___�. � ......�_ .,......�.....�_ <br />Amount of Increase $ <br />Decrease ($ <br />��.�.....a:.._.............-,.....W�W�W�W�W............................_...... .................. <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase <br />% <br />Decrease <br />(.............................% <br />Increase <br />....................... ._ % <br />Decrease <br />% <br />