Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 11/15/19 <br />Name Pang Me per Department DCI <br />BPW Date 11/26/19 Phone Extension 5845 <br />wmmmima...... vwouommmmmmnmummw �HWrxnasxnr irawwnn mmaummwiomwmmmmmmmmmnwmwmmr amumumimmmmi immm uuirrrtmismwmna <br />_... _....__,... ._...__.,......_. . ............ <br />required Prior to Submittal to Board <br />........ .......w .__.._ ..... a <br />BPW Attorney® Attorney Name Clara Daniels <br />Dept. Attorney z Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt <br />Check the AP B t fi Item 1?e <br />:.....�,,.,—mm........... ......... <br />E] Professional Services Agreement Contract <br />El Open Market Contract Z Amendment/Addendum <br />[:] Bid Opening ❑I Bid Award <br />❑ Quote Opening ❑ Quote Award <br />❑ Proposal Opening ❑ C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />Other: <br />t o uired Information <br />All Submissions <br />LJ Proposal <br />EJ Special Purchase, QPA <br />E] Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />�] Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name <br />UrbYes nt Association South Inc. <br />New Vendor <br />If Yes, Approved b Purchasing <br />sing <br />❑ pp Y ing <br />No <br />MBE/WBE Contractor <br />❑ WBE Completed E-Verify Form Attached ❑ Nos <br />Project Name <br />i Home Repair...P.rO.a...... <br />South.., Bend.... P.ilot.......�. �................................... <br />Project Number <br />19JO16 <br />Funding Source <br />COIT <br />AccountNo. <br />404.1001.460.39..3.0....................m...�...........�r�.��,�..�..............................�....�................��������...m�...... <br />Amount......$.600,000.00 <br />�...........................................�............. _. �,� ���� �, �......................... �........�r...... .� <br />Terms of Contract <br />January 1, 2018-December 31, 2021 <br />Purpose/Description <br />Additional funding for next phase of home repairs in targetedarea. <br />For Change" Orders Onlym <br />Amount of ❑ Increase $ <br />❑ Decrease ($ ) <br />m... mm..--.�,,.............. <br />�....................................�. <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Total Percent of Change: <br />Time Extension Amount: <br />New Completion Date: <br />Increase <br />Decrease <br />% <br />Increase <br />% <br />Decrease <br />( % <br />