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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Sc t l er 26, 2019 <br />Name Michael Divitalbg Department DCI <br />BPW Date October 8, 2019 Phone Extension 5843 <br />qured Prior to Submittal to Board <br />BPW Attorney ❑ Attorney Name <br />Dept. Attorney ® Attorney Name Sandra Kennedy <br />Purchasing <br />Check the A ro Ejgt _ tem <br />. <br />— l clt <br />0 Professional Services Agreement El Contract <br />[l Open Market Contract 0 Amendment/Addendum <br />[:] Bid Opening El Bid Award <br />❑ Quote Opening El Quote Award <br />Proposal Opening Fj C/O & PCA No. <br />El Chg. Order, No. ❑ Traffic Control <br />[]_Other: <br />eq4 red Information <br />All Submissions <br />[ I Proposal <br />❑ Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />[� Resolution <br />Ease./Encroach <br />❑ Title Sheer <br />Company or Vendor Name Urban Enters?_rise Association of South Berrd Inc. <br />Yes If Yes, Approved by Purchasing <br />New Vendor Y <br />No <br />MBE/WBE Contractor WBE Completed E-Verify Form Attached ® No <br />Project Name Nei borhood-Scale DevelopmentMatchingGrant Program <br />Project Number <br />w _. _.............. - ..... <br />......----...... ...... <br />Funding Source EDIT . <br />.............. ........ ...............a _. <br />Account No. 408-1001-460.39-30 / 19JO14 <br />Amount $200,000 <br />Terms of Contract <br />........ ­....-_....� <br />Purpose/Description Provide fund n) to UEA to administer a commercial and mixed -use <br />building and property improvement grant for projects in neWIborhood <br />centers <br />Amount of ❑ ase $ <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease ( /o _._...... �.............. <br />0 <br />New Amount $ <br />Increase <br />Total Percent of Change: Decrease ( /o _... _............... <br />0 <br />Time Extension Amount: <br />New Completion Date: <br />