Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />8/15/2019 <br />Timmer <br />Department DCI <br />BPW Date 8/27/2019 Phone Extension 5841 <br />M�N1N�.n »A4�.9.'�.A' WfRiHWJIVI@Y�@MX4M✓'� 2A'G?['_ i�W;Y§XAXn'NMMNrt� � IVllWIVIWIWIIPIPNIflIMMrtMs�'�9y,�'N�W�W�V�V�W�WNWI'�MM'k �VVW�I'hNFfkM �*vrsrr EDI Yf;�;l5��ma, 5M1YlY WY�5335`t�ee�st 91r�W�X�N'M!!�YN.r��V�»'WB� <br />Re( Prior to Submittal to Board <br />BPW Attorney ...���.._ ..M.. � �..._�. � � �.......�. <br />® Attorney Name Clara eDaniels <br />Dept. Attorney E Attorney Name <br />Purchasing ® Michael Schmidt <br />............ww Check the Appropriate Item Tvrame <br />Professional Services Agreement Z Contract <br />Sandra Kennedy <br />EJ <br />Open Market Contract, <br />Amendment/Addendum <br />Bid Opening <br />Bid Award <br />Quote Opening <br />❑ Quote Award <br />❑A <br />Proposal Opening <br />0 C/O & PCA No. <br />E <br />Chg. Order, No. <br />[J Traffic Control <br />0 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 />tion <br />l Submission,, <br />Proposal <br />El Special Purchase, QPA <br />❑ Req. to Advertise <br />J Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Youth Service St J seph Count�r� Inc. <br />Yes,❑ If Yeas, Approved u �. <br />by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ® Yes <br />WBE [:1 No <br />mergency Shelter Operations &Rapid Rehousing Activities <br />19-JE-35 <br />E erencv Solutions Grant (ESG) <br />m... »�_..... <br />212.1001.460.39.30 <br />$ 74,184.00 <br />.........� .�...__ m <br />1 /01/2019 — 2/26/2021 <br />Subsidize the cost of operat_ ing a 1 o�pcicss shelter, provide t:IT tllt i assistancf <br />roll, I ermanggj,, <br />w_. a ........ For 1� ngq Orders O Y ._...,,,. <br />..... - <br />Amount of F] Increase $ <br />Decrease ($ ) <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 />Decrease ( % <br />Increase % <br />Decrease ( % <br />