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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date10/01/2019....................................._ ����..........................................................__�.�................ ........ <br />Name Lory Timmer Department DCI <br />BPW Date 10/22/2019 Phone Extension 5841 <br />�IIIIIIIIILI&4'WI v. u. ,ray I ...IM0fl�ld`rtd" <br />... _ .. Required... ._ ......__ ....._.. <br />Prior to Submittal to Board <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney <br />Purchasing <br />0 <br />Attorney Name <br />Michael Schmidt <br />Sandra Kennedy <br />_ Check the Aporte.Item <br />Tp1c`a <br />D Professional Services Agreement <br />® Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />❑ Bid Opening <br />[-1 Bid Award <br />�❑ Quote Opening <br />❑ <br />Quote Award <br />❑ <br />Proposal Opening <br />❑] <br />C/O & PCA No. <br />Chg. Order, No. <br />❑' Traffic Control <br />El Other: <br />All Submissions <br />Proposal <br />E] Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />F] Ease./Encroach <br />❑ Title Sheei <br />Lk%1,U1L%,U 1111V1111a L1V11 <br />Company or Vendor Name The Center for the Homeless <br />New Vendor ❑ Yes❑ If Yes, Approved by Purchasing <br />No <br />MBE/WBE Contractor MBE Completed E-Verify Form Attached ❑ Nos <br />i Scattered Site Operations <br />Project Name Permanent Supportive Housg <br />Project Number 19-JC-09 <br />Funding Source Community Development Block Grant (CDBG) <br />Account No. 212.1001.460.39.30 <br />...�_a�w_w _______......------ww <br />Amount $129,000.00 <br />Terms of Contract 10/0."_.................................... _........m._�..m,__ ,,, _ ,,,. .........�.... .................................... ..- <br />/2019 — 12/31/2020 <br />Purpose/Description S.... _. pITITIT g r upport the o eration of scattered ermanent su ortive housm ,sites fo <br />households e �pcdq16gg homelessness, <br />For Chlilsige Orders 'Opl .mw....... <br />Amount of <br />Increase $__ _ <br />El <br />Decrease ($ <br />) <br />Previous Amount <br />$ <br />................................................................................................................................w.........--- .._ <br />Increase% <br />� <br />Current Percent of Change: <br />Decrease <br />( %) <br />New Amount <br />$ <br />m.............. <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />..______ __ _________ <br />New Completion Date: <br />_____._. m_��� .m.. ........�......��_. <br />