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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/05/19 <br />Pain Mew .....,... p Name .....� � ...... <br />Department DCI..... ..� . .... .._.� . <br />BPW Date 11/12/"19 Phone Extension 6209 <br />�evava�nmaver��ii�nr,9ne�mwwuw�m�uwr� � . -���. ��.....uwuwiuwwwu�.uuuwuw�uwiuiwaw��.van�r � xA��uuuuum�,�,m�.n,,�,�,A��-,�ro�imimimimuuuuuuuuuuuuuuuuuuuuuuumnunmuu r�rm �xirnan�..... w <br />...,�, .._.m .. <br />l.ec wired Prior to Submitt <br />al to Board <br />�._ .� .....� ..._.._.. �_.....�_._. ..w �._.��..� .— .............. <br />BPW Attorney ® Attorney Name Clara Daniels <br />Dept. Attorney Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt <br />.._-- <br />Check the dppycpq Item T m l ip <br />ProfessionalServices Agreement Contract <br />Open MarketContract D Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />E] <br />Quote Opening ❑ Quote Award <br />Proposal Opening [❑ C/O & PCA No. <br />❑ <br />Chg. Order, No. F-1 Traffic Control <br />Other: <br />'54 <br />r All Submissions <br />LJ Proposal <br />❑ Special Purchase, QPA <br />F Req. to Advertise <br />0 Reject Bids/Quotes <br />E] PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />11vV illl {.1. V 1 <br />ompany or Vendor Name <br />����m���t� Homebu ers Cor�o� <br />. Y ,... Y " aton.uCHC <br />New Vendor <br />Yes If Yes, Approved by Purchasing <br />® No <br />MBE/WBE Contractor <br />WBE Completed E-Verify Form Attached Nos <br />Project Name <br />Staff Services <br />Project Number <br />N/A <br />Funding Source <br />_..� .. � <br />CHC Funds paid to City <br />Account No. <br />N/A <br />Amount <br />$20 00....�.........�, �. w_ <br />0.00 <br />Terms of Contract <br />1/l/2020-12/31/2020 <br />Purpose/Description <br />Payment to City for DCI staff work related to CHC programs <br />Y Y p �' <br />For Chan Orders Onl <br />Increase <br />Amount of <br />$ <br />��.. <br />Decrease ($ <br />Previous Amount $ <br />Current Percent of Change <br />New Amount <br />E.1 <br />Increase % <br />Decrease ( % <br />Increase _ % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />