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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/12/19 <br />er <br />Name Pam Me"� Department DCI <br />_.._ �a �.....w�. m.. <br />BPW Date 11/26/19 Phone Extension 5845 <br />�•au.,�u.,w,��az.�:rrr�ur��i ._ _ i¢yruear�im�wwwarwm�a rwrc�sre,�muw ,a�,,�,� ,,,��„ � n�rnr�zw;,;:rwarvaamuu uWwauuaH�mwuu�uuwiuiuuiuuiuuwwuwaww�. <br />.__ Required Prior to Submittal to Board <br />BPW Attorney `❑ Attorney Name Clara Daniels <br />Dept. Attorney Z Attorney Name <br />Purchasing ® Michael Schmidt <br />Sandra Kenned <br />Check the Al-) froritt Item 3 l.e... l> <br />El Professional Services Agreement Contract <br />El Open Market Contract ® Amendment/Addendum <br />E] Bid Opening ❑ Bid Award <br />[� Quote Opening Quote Award <br />Proposal Opening El C/O & PCA No. <br />El Chg. Order, No. E] Traffic Control <br />F Other: <br />e ti Ic �tircd Information <br />All Submissions <br />Proposal <br />Special Purchase, QPA <br />❑ Req. to Advertise <br />Reject Bids/Quotes <br />[❑ PCA <br />E] Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Company or Vendor Name <br />466„Works Comniunrt DevcloTinent CorponitioJ <br />E] Yes[:] If Yes, Approved by Purchasing <br />New Vendor <br />® No <br />MBE/WBE Contractor <br />❑ MBE Completed E-Verify Form Attached ❑❑ Nos <br />Project Name <br />New Construction Pilot Housing Subsidy Program <br />Project Number <br />18JO15 <br />Funding Source <br />....� ............. �m...,,..... <br />EDIT <br />Account Number <br />408.1001.460.39.30 <br />............. <br />Amount <br />$200,000 <br />Terms of Contract <br />3.. �. �..... <br />/ 1 / 18-10/31 /2021 <br />Purpose/Description <br />s in southeast� � � � � � t .�.�.n,..�.�i.......rw__ �..,,...........................................................�.W�........,,���- <br />of 2 homes <br />t _ neighborhood <br />For Cht�ngc Orders Only. .... .._......... <br />Amount of <br />Increase $ _......._............. w ... ��_� _.. .... <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Current Percent of Change: <br />New Amount <br />N <br />Increase <br />Decrease (.............m... % <br />Increase % <br />Total Percent of Change: Decrease ( % <br />Time Extension Amount: <br />New Completion Date: <br />