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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date November 4 019 <br />Name Pamela Mever Department DCI <br />BPW Date November 1.2 201,9 Phone Extension 5845OR <br />ec�uded Prior to Submittal to — <br />. .......... <br />BPW Attorney ❑ Attorney Name McDaniels <br />Dept. Attorney El Attorney Name Kennedv <br />❑ ............................ <br />Purchasing <br />Check the ADDrOmiate Item I"vr)e Aeend red Y <br />❑ Professional Services Agreement [:] Contract <br />Open Market Contract <br />❑ Amendment/Addendum <br />Bid Opening <br />Bid Award <br />[� Quote Opening <br />Quote Award <br />❑ Proposal Opening <br />❑ C/O & PCA No. <br />Chg. Order, No. <br />❑ Traffic Control <br />Other: <br />R a u red Information <br />All Submissions <br />[__j Proposal <br />❑ Special Purchase, QPA <br />F Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />x Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name Urban Entcrpdise Association <br />._........... <br />New Vendor Yes❑ If Yes, Approved by Purchasing <br />No <br />MBE/WBE Contractor MBE Completed E-Verify Form Attached El Yes <br />❑ WBE ❑ No <br />Project Name Blight Elimination Project <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />Terms of Contract <br />Purpose/Description Resolution to acc t raw iransler to Cit frown U EA fdrrrrertics too <br />Yet redevelo wed as oart ofthe Cit 's I lig t Elimination <br />Project. <br />Amount of ❑ Increase $ <br />❑ Decrease ($ <br />Previous Amount $ <br />Increase % <br />Current Percent of Change: Decrease �(%) mmmmm www <br />_................................ <br />New Amount $ <br />Increase������.........m..,..,.m,_._,,,._ 0 ��...�...�._������������..........................���......m���..._.�._....................................�.. <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />New Completion Date: <br />