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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />9/25/2019 <br />Timmer <br />Department DCI <br />BPW Date 10/08/2019 Phone Extension 5841 <br />arca�¢cau^��m�m�riHiHiuiuiuiuiui�uwr�ww Barr, m�?.vr ow�Rimorimv��r ;:�, . ,,, �—, �.�.�n .a�.�o�rrrrrrr..r.�,.��u��. �,,. 000mmmmmmimirv�wrvrr�,��w��rrsrau� rnn�r, ,.,� ,.m--.---�..�r�arsw�auiuoHouuiwiHiouuouuouuuuuuuuuuuuuuuuuuumviva�!�rvnor�rrroa�,�a;a:—u. � vnnwu�e�+ <br />.. ....... wW,.,.� al to Board <br />. . .. . . ............ .—www—W. ,..... ._w_.� <br />lclu�lclPrior to Submitt . ��... <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ;, Attorney Name Sandra Kennedy <br />Purchasing Z Michael Schmidt <br />........... <br />❑ Professional Services Agreement <br />❑ Open Market Contract <br />Bid Opening <br />❑ Quote Opening <br />E] Proposal Opening <br />Chg. Order, No. <br />�] Other: <br />prepriat Item Ty 1 ed i11-111­1n, All Submissions <br />Contract <br />❑ Proposal <br />�] Amendment/Addendum <br />F Special Purchase, QPA <br />❑] Bid Award <br />E] Req. to Advertise <br />Quote Award <br />E] Reject Bids/Quotes <br />C/O & PCA No. <br />F] PCA <br />[� Traffic Control <br />E] Resolution <br />Information <br />Ease./Encroach <br />Company or Vendor Name Near Northwest Neighborhood, Inc. <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 />❑ Title Sheei <br />❑I Yes❑ If Yes, Approved by Purchasing <br />® No <br />❑ MBE Completed E-Verify Form Attached ® Yes <br />WBE ❑ No <br />Single -Family Home New Construction Activity <br />1_1111...........-- _ ...... ................� .-- <br />18-JC-24 <br />Community DevelopmentlockyGrant (CDBG) <br />.. .. .......... <br />212.1001.460.39.30 <br />$165,000.00 <br />1/01/2019 — 12/31/2021 <br />Provide a develollrrpITopt subsidy for the construction -of awsingle-family hom <br />for a low -mod income homebuyer <br />For Ch,,in e Orders Only..... <br />Amount of [I El increase $ - <br />Decrease ....�$ ) ..... ,..... ..............��--- <br />Previous Amount <br />$ ......... ........................................ <br />Increase <br />....... <br />% <br />Current Percent of Change: <br />Decrease <br />( % <br />New Amount <br />$ <br />.-Increase .�.. <br />..... .......... <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />_....� �� ................ <br />— <br />