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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date October 1, 2019 Department DCI <br />Name Andrew Nettw........ __.... <br />er Division/Bureau Planning <br />BPW Date October 8, 2013 Phone Extension 5 931 <br />Required Prior to Submittal to BoardmmmmmmmWm . mITIT_ww„ <br />Legal ® Attorney Name: Clara McDaniels <br />Controller ❑ Controller review is required for all Contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing El <br />_. .............. �_ _......._ _.............. <br />Check the Aropt ITltem T"Peerira for All Submissions <br />❑' Agreement Amendment 0 Contract El Proposal ❑ Addendum <br />El Professional Services Resolution <br />J_� Bid OpeningBid Award ❑ Req. to Advertise ❑ Title Sheet <br />❑ Quote Opening ❑] Quote Award <br />❑ Change Order No. C/O & PCA No. ❑ PCA <br />Ease/Encroach. Traffic Control: <br />Other: Real Property Transfer Agreement <br />Reouired Information <br />MBE/WBE Contractor Requested No ❑ Yes Name of Compare <br />Project Name Transfer of Real Property 823 N. Harrison St. <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description The City is transferring ow......................................._................__......__..........., <br />nership of 823 N. Harrison St. to the <br />non-profit Near Northwest Neighborhood, Inc. for new <br />construction of low -mod income housing through use of federal <br />funds. <br />El Required Contracto <br />r's Certification Forms Attached (Non - <br />Collusion, Non -Discrimination, Non -Debarment, E-Verify, Iran, etc.) <br />Required For Chanqq Orders Only <br />Amount of in cease $ .. <br />�I <br />