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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date October 15 2019......................... _.................,�.......... <br />Name David Relos Department DCI <br />BPW Date October 22 2019 Phone Extension 5836 <br />Y�MWI',�F�"bwVdRNfl99MIWPIIIIWMMMMMRNIMN.Y'W'HWWI4'hVRYYrt�rt�MhutlAr.'"z� .. � � ... � i3:,.�.::: !M1',"FA�M1!9"M RPYVIY fY _ ss. a-mm �:umm�nmo�;,mu-L".Y.:JPIPI�i�,� Yd3NIrilY,I�Y1 <br />C <br />_� ..._..._. .. ..._ Lq(Li�i1 �t Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney Z Attorney Name Sandi Kennedy <br />....... .. .... ..n ................ <br />Purchasing <br />issions <br />LJ Professional Services Agreement H Contract ❑ Proposal <br />[� Open Market Contract ❑ Amendment/Addendum [—] Special Purchase, QPA <br />�] Bid Opening ❑ Bid Award ❑ Req. to Advertise <br />Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />[:] Proposal Opening ❑ C/O & PCA No. PCA <br />Chg. Order, No. F-] Traffic Control ❑ Resolution <br />Other: Donation x ecrx�cd�t [� Ease./Encroach <br />Company or Vendor Name <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 />South Bend H.' ° u, _.......io.,� <br />❑ Yes If Yt�c Foundation <br />es, A roved b Purchase <br />... pP Y Purchasing <br />No <br />No <br />MBE Completed E-Verify Form Attached <br />Q WBE <br />❑ Title Sheet <br />[l Yes <br />No <br />Donation of four vacant lots in two key target areas. <br />Three parcels along the southern edge of City Cemetery & one at Charles <br />Martin / LWW. <br />ForCh <br />pgc, Orders Only <br />" �. <br />Amount of Increase <br />❑ Decrease ($ <br />_. ..., . .. ���. .. �.�....e............... <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />Total Percent of Change: Decrease %o <br />Time Extension Amount: <br />New Combletion Date: <br />