Subgrant - Subaward from Lilly Foundation Grant to UND & South Bend - Elkhart Region for Technology Resource Center - University of Notre Dame du Lac

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BOARD OF PUBLIC WORKS AGENDA ITEM REVIEW REQUEST FORM Date Name 11/5/19 Denise Riedl Department Innovation & Tech BPW Date 11/12/19 Phone Extension 6004 Required Prior to Submittal to Board Legal _..._ Attorney Name Kennedy Controller review is required for all Contracts $5,000.00 or more Controller and greater than one year in length per the City Purchasing Policy Purchasing _ Check the Appropriate Item Type —Required for All Submissions Z Agreement El Contract Fj Proposal Addendum ❑ Professional Services 0 Amendment Bid Opening ❑ Bid Award ❑ Req. to Advertise ❑ Title Sheet ❑ Quote Opening ❑ Quote Award El Chg Order No. El C/O & PCA No. d❑ PCA El Ease./Encroach. ❑ Traffic Control El Resolution �] Other:- Claim Rewired Information Company or Vendor Name Univerofyr of Notre Dame New Vendor MBE/WBE Contractor Project Name Project Number Funding Source Account No. Amount Terms of Contract Purpose/Description Amount of F. 0 ❑ Yes ® No ❑ MBE ❑ WBE Grant fund If Yes, Approved by Purchasing Completed E-Verify Form Attached ❑ Yes No i from Lillv Foundatation award N/A N/A N/A November 12, 2019 December 31 2023 Subaward from Lilly Foundation grant to Universitv of Notre Dame and South Bend -Elkhart re ion. Grant will be used for expenses related' to Technology Resource Center For Chanod Orders Only Increase $ Decrease $ Previous Amount $ Current Percent of Change: % New Amount $ ___...�................. Total Percent of Change: Time Extension: Dispersal After Approval Copy Original ® E] Denise Riedl ® Brian _._... _.......... .... Donoghue _ ® ❑ Daniel Parker