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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />10/ 17/2019 <br />Laura O'Sullivan <br />Department <br />'s Office <br />BPW Date 10/22/19 Phone Extension 9699 <br />mummi�uuuu uw��Wi� rrrermmrmrm��m <br />.... .p..... <br />Required Prior to Submittal to Board <br />...... ........ <br />.._....�....... ......... <br />BPW Attorney Attorney Name Clara McDaniels <br />Dept. Attorney ® Attorney Name Geovanny Martinez <br />Purchasing Z, Michael Schmidt <br />® Professional Services Agreement EI Contract <br />Open Market Contract ❑ Amendment/Addendum <br />n <br />Bid Opening [] Bid Award <br />El <br />Quote Opening F-1 Quote Award <br />❑ <br />Proposal Opening F-1 C/O & PCA No, <br />E] <br />Chg. Order, No. ❑ Traffic Control <br />F-1 Other: <br />Company or Vendor Name 21CP Solutions, LLC <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 />All Submissions <br />Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />EReject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Yeses If Yes, Approved by Purchasing <br />[] No <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Review of Internal Investigation andDisciplinaryProcesses <br />N/A._..._. _.....w <br />Mayor's Office Budget <br />101-0101-413.31-06 <br />$178,970 plus 10% overhead & Admin and plus reimbursable expenses <br />nlus 10% overhead and expenses <br />Upon invoice <br />Consulting Services for review and analysis of COSB PD policies and <br />practices. <br />For Change Orders Only. <br />�...��... .... �..._ ... �_�� <br />Amount of D <br />$.�....� <br />Increase <br />_................___ dw <br />❑l <br />Decrease <br />Previous Amount <br />_....... <br />$ <br />w�w__w .......... ............ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />%) <br />New Amount <br />$ <br />Increase <br />%.,.,.,..� �.............._. �....... .. ���.._ww_. ,���w��d <br />Total Percent of Change: <br />Decrease <br />( %) <br />Time Extension Amount: <br />New Completion Date: <br />