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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />._ <br />Date 11/05/19 ........... <br />Name Therese Dorau/ w.licia Czarnecki Department Ian incering <br />BPW Date 11/12/19 Phone Extension 5903 <br />dared Prior to Submittal to Board <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney ❑ Attorney Name <br />Purchasing <br />__ Professional Services Agreement Li Contract n Proposal <br />El Open Market Contract ❑ Amendment/Addendum E Special Purchase, QPA <br />❑] Bid Opening Bid Award n Req. to Advertise ❑ Title Sheet <br />❑' Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />�] Proposal Opening ❑ C/O & PCA No. ❑ PCA <br />EJ Chg. Order, No. ❑ Traffic Control Resolution <br />Z Other: Ratify Selection F� Ease./Encroach <br />Company or Vendor Name Performance Services, Inc. <br />New Vendor Yes❑ If Yes, Approved by Purchasing <br />❑ No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ❑ Yes <br />❑ No <br />Project Name South Bend Fire Department Solar PV - RFQ <br />Project Number 119-067 <br />Funding Source Fire Capital/Building Improvements <br />Account No. 750-0901-422.42-02 <br />�_..._.. _ .m_..�........ <br />........ <br />Amount TBD ._._.... <br />Terms of Contract TBD <br />Purpose/Description Ratify recommendation of energy company <br />..._ <br />selected ener services com an to provide a <br />Guaranteed Energy Savings Contract for South Bend Fire Department <br />Solar PV. <br />Amount of LJ Increase $ <br />Decrease ($) _ <br />Previous Amount $ <br />Increase /o <br />Current Percent of Change: Decrease (..........M. <br />0 <br />New Amount $ <br />Increase % <br />Total Percent of Change: Decrease ( /o)._...�...... _.... <br />0 <br />........... <br />Time Extension Amount: ------ ._. ...,... <br />New Completion Date. <br />