Professional Services Agreement - Purdue MEP - Skills for Success Training

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date 08/20/2019 Name Dan BuShI nee +er Department DCI BPW Date 09/03/2019 Phone Extension 5328 wau.�oo. mc��mwwmmmwmmmwwwwwwwwwwwwww,,wsiuu:�mr�mr� � ,,�w�swmumwMomomomommmw�ew�mm�o�mw� rrem�rrrrrrrrrrew✓ ...... ... .. ......... ...... .............�.., ...�..�,.. Required Prior to Submittal to Board BPW Attorney Attorney Name Dept. Attorney E] Attorney Name Sandra Kennedy .............. . . ...... Purchasing F-] Check the Appropriate Item Type Professional Services Agreement Z Contract Open Market Contract R Amendment/Addendum n Bid Opening F] Bid Award FJ Quote Opening] Quote Award Proposal Opening C/O & PCA No. ❑ Chg. Order, No. ❑ Traffic Control Other: Company or Vendor Name New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Information All Submissions Proposal "I Special Purchase, QPA F-� Req. to Advertise Reject Bids/Quotes PCA ❑ Resolution Ease./Encroach ❑ Title Sheet Purdue MEP Center ❑ Yes ❑ If Yes, Approved by Purchasing - ....................... ®No ❑ MBE Completed E-Verify Form Attached Nos ❑ WBE Pathways Program EDIT 404-1001-460-39.3 0 $21,500.00 Skills for Success is a manufacturing training aimed at helping soon to be released inmates gain valuable skills that will help them become a highly valued member of an organization. For C'bang Orders .. Q y Amount of ❑ Increase $ ......... ... ......... _ _....�w_. ❑ Decrease$ ) Previous Amount $ Increase ............................. % Current Percent of Change: Decrease New Amount $ -..- ...�......_._.�._........a.... Increase .... ......... % Total Percent of Change: Decrease ................w (m Time Extension Amount: mmmw%) New Completion Date: