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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />2019 Date August 20,�.......... ���_........��._...e......................................... <br />y <br />Department DC <br />Name Alke_ na Aldridge I�...»..........................__......,..�..�..............................m............... ��......... <br />B,PW Date Au�ust,YX27 2019...., Phone Extension 5896 <br />"'w� =4c" ^— ^ ^^ �-�--��i�@nIP�Xidiblr".dd@!MNf?f10@@I@@M'YiMNa,:�F,sl+Farsurs.w.wvNrYCdd"NNA"Nk93GCM N@@I�1!Y ..ASb� +�Y.' �viii;F.tid„n,�1gidM�Wfr;RfldQfifrtWIN@W�Y!�."!Y'_ivt <br />...gym ired Prior t <br />.w.,...,........i .,,,,.m....� ...... R ...w ,,...,., m..............,.........,,.�.�®.,...._........,�.. <br />uo Submittal to Board <br />Legal ® Attorney Name Sandra Kennedy <br />Controller ® Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Check the <br />�] Agreement <br />® Professional Services <br />❑1 Bid Opening <br />El Quote Opening <br />E' Change Order No. <br />❑ Ease/Encroach. <br />F1 Other: <br />L Contract <br />El Resolution <br />Bid Award <br />El Quote Award <br />_1 C/O & PCA No. <br />El Traffic Control <br />�d for All Submissions <br />I❑ Proposal <br />❑ Req. to Advertise <br />❑ PCA <br />nation <br />Company or Vendor Name Incremental Development Alliance <br />Addendum <br />❑ Title Sheet <br />New Vendor ❑ Yes ® No ❑ If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />Projectate Ca acit Building & Technical Assistance <br />Name Small Real Este y <br />Project Number 19J002 <br />�... ���-.. .....,., <br />Funding Source Redevelopment General (Pokagon) <br />...... _..�............. <br />Account No. 433.1050-460.39-30 <br />___________ ..... ............. _ ...,.,e...................................... _.__.....a.ee. <br />Amount $ 20,000 (up to) <br />_____.mm..,...... ............ <br />....... mm,...m __�.... <br />Terms of Contract Sept. 1, 2019- Dec. 31, 2019 <br />Purpose/Description Westside Incremental Development implementation i-e- c hnical assistance <br />related to the Engagement & Empowerment team's goals. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion, Non Discrimination, Non Debarment., E Verifwy„ Iran, etc. <br />or Chan <br />Amount of El <br />Increase $ <br />Decrease $ <br />Previous Amount $ <br />