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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />11 /04/2019 <br />Jacob Alexander <br />Department DCI <br />BPW Date 11/12/2019 Phone Extension 9278 <br />,���wu�,00..n�r2'.�r©uru�r nnmur'rv'rev��ar; � �uuuuuuuuuuuuuuuuuuuuuuuuuuWuuuuuuuumr�euw �>"�,,�,,,�„�.,.�, <br />........._._.. .._.. -- .,�„� .._.,.w., ....,,,,m.................._..�.�.�,.m,.�„_�_:„ .�.........._ <br />Iked Prior to Submittal to Board <br />....m .. _ .�..��..._... _.. __. ...: <br />Legal Attorney Name Sandra Kenned <br />Controller ® Controller review is required for all contracts $5,000.00 or more and <br />greater than one year in length per the City Purchasing Policy <br />Purchasing ❑ <br />Professional Services Agreement ❑ Contract <br />[� Open Market Contract E' Amendment/Addendum <br />Ej <br />Bid Opening Bid Award <br />uote O Quote Award <br />Q penin g <br />E] <br />Proposal Opening F-1 C/O & PCA No. <br />❑ <br />Chg. Order, No. Traffic Control <br />❑ Other: <br />Company or Vendor Name <br />New Vendor <br />MBE/WBE Contractor <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description <br />Required Information <br />r All Subssions mi <br />❑ Proposal ..... <br />�] Special Purchase, QPA <br />❑ Req. to Advertise ❑ Title Sheel <br />❑ Reject Bids/Quotes <br />PCA <br />Resolution <br />F Ease./Encroach <br />0 Yes[ ] If Yes, A roved_g� __....... rcha 'n'-"......w_ <br />_ Tech Commum <br />pp by Purchasing ����� .... .....�� <br />No <br />MBE Completed E-Verify Form Attached [ Yes <br />WBE ❑ No <br />Workforce Pathways . <br />.,.,.,. a ......................_,........... <br />19JO22 <br />COIT - Grants and Subsidies������� <br />1-460.39-30 <br />NTE 0,000 <br />................ <br />.�....................._. ..,,,,,,., .._,......... <br />01 /O l /201 9 - 12/31 /2020 <br />Provide workforce training to participants in the Workforce Pathways <br />program. <br />Amount of ❑ <br />Increase <br />❑ <br />Decrease ($ <br />Previous Amount <br />$ <br />Increase <br />...... <br />% <br />Current Percent of Change: <br />Decrease <br />°.. ...... <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />%) <br />Time Extension Amount: <br />New Completion Date: <br />_�_�....................wm_____ � ........ <br />