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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 5, 2019 <br />Name Alkeyna Department DCI <br />BPW Date November 12, 2019 Phone Extension 5896 <br />............. . ........... .... <br />. . .... ... . ............... . . Required Prior to Submittal to Board <br />Legal Z Attorney Name Sandra Kennedy <br />Controller Z Controller review is required for all Contracts $5,000.00 or more anc <br />greater than one year in length per the City Purchasing Policy <br />Purchasing 0 <br />Check the <br />[A Agreement <br />F-1 Professional Services <br />F1 Bid Opening <br />El Quote Opening <br />F-1 Change Order No. <br />n Ease/Encroach. <br />iroriate Item Ty <br />Contract <br />Resolution <br />0 Bid Award <br />F Quote Award <br />E:1 C/O & PCA No. <br />El Traffic Control <br />for All Submissions <br />F— <br />Proposal Addendum M -- <br />El Req. to Advertise D Title Sheet <br />E:1 PCA <br />Other: <br />. . . . .............. <br />RecLuilred Information <br />Company or Vendor Name <br />Majora Carter Group (MCG) <br />New Vendor <br />E Yes El No El If Yes, Approved by Purchasing <br />MBEMBE Contractor <br />E MBE ® WBE <br />Project Name <br />Inclusive Revitalization Advisory Board & Action Plan <br />Project Number <br />Funding Source <br />Redevelopment General (Poka o�n <br />Account No. <br />433.1050-460.39-30 <br />Amount <br />30,000 (up to) <br />Terms of Contract <br />November 22, 2019- Dec.'3_f, 20-19 <br />Purpose/Description <br />. ... ...... <br />MCG will lead an Advisory Board process to define demonstration <br />projections in inclusive, incremental revitalization. <br />E Required Contractor's Certification Form Attached (Non- <br />. ... . .............. <br />Collusion, Non -Discrimination, Non -Debarment, E-Verifv, Iran, etc.) <br />Amount of ❑ increase $ <br />Decrease $ <br />Previous Amount <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Copy <br />Original <br />Z <br />Z <br />Z <br />F1 <br />Z <br />El <br />% <br />Dispersal After Approval <br />Alkeyna Aldridge <br />Amanda Pietsch <br />Daniel Parker <br />