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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Aga 1.20,IT 19 <br />Name Alkke na_Aldrid e Department DCI <br />BPW Date August 27, 2019 Phone Extension 5896 <br />�y <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 />Lj Agreement <br />LJ Contract LJ Proposal LJ Addendum <br />® Professional Services <br />1 Resolution <br />❑ Bid Opening <br />Bid Award ❑ Req. to Advertise ❑ Title Sheet <br />El Quote Opening <br />❑ Quote Award <br />El Change Order No. <br />❑ C/O & PCA No. ❑ PCA <br />D Ease/Encroach. <br />❑ Traffic Control <br />F� Other: <br />Company or Vendor Name St. Mary's Women's Entrepreuneurship <br />Initiative <br />New Vendor 0 Yes El No El If Yes, Approved by Purchasing <br />MBE/WBE Contractor ❑ MBE ❑ WBE <br />Project Name Spark Women's Business Accelerator NeighborhoodITPilotmmmm ......, <br />Project Number 19JO02 <br />Funding Source Redevelopment General (Pokagon) _. <br />Account No. 433.1050 460.39-30 <br />..._.............................................. <br />Amount $ 30,000 (up to)................ <br />.............. <br />Terms of Contract August 27, 2019 July 11 2020 <br />Purpose/Description Place -based, minority small business accelerator pilot related to the <br />Engagement & Empowerment team's goals. <br />® Required Contractor's Certification Form Attached (Non - <br />Collusion„ Non -Discrimination, Non -Debarment, E-Verifier, Iran„ etc. <br />Amount of El Increase $ <br />F Decrease $ <br />Previous Amount $ <br />Current Percent of Change: �._.% <br />New Amount ._..._.............. <br />Total Percent of Change: % <br />Dispersal After Approval <br />Copy Original <br />® ® Alkeyna Aldridge <br />® mm— .................... - . <br />Amanda Pietsch <br />................._................ <br />_..................._._................._.. <br />® Daniel Parker <br />