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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/3/19 <br />Name Al'GELA SMITH I H Department DCI <br />_. <br />BPW Date 12 Phone Extension 9451 <br />�u^�+�mn�m�muiuiwiuwiuiuuu��u��r��a�� �.�,�I'iouHiHiHiHiHiHiHiHiHiHiHis!�rurrdrvn�rr�, arRu,,,��,;,����yesv��e�nrt%�xumr�m�„ . vr,�,�.�s�rv+�t� .,.... �r�r�;maimanrnsa. t �a.�s�;� ... � aa�u^.wrww��m��a <br />m. m... ........wwwwe�'ed Prior to Submittal to Board <br />Attorney... _. _........ _.. ..W .........�.... <br />BPW. _ <br />® Attorney Name Clara Daniels <br />Dept. Attorney ® Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt.... _ <br />Check the Avoropriate Item Tvo - Reauir et <br />Professional Services Agreement [:] Contract <br />❑ <br />Open Market Contract Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />R <br />Quote Opening Quote Award <br />E] <br />Proposal Opening ❑ C/O & PCA No. <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 />All Submissions <br />"I Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Provide training for the newly formed South Bend Advisory Plan, <br />tm"ollart7issic m and South f end Ady c a rwi oard of Zoning, <br />Anneals <br />mm:� ...... For Ole e Orders fill <br />.... _ro..... _ ..w..a..., <br />Amount of Increase $ <br />El Decrease ) <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease /o <br />Increase % <br />Total Percent of Change: Decrease % <br />Time Extension Amount: <br />New Completion Date: <br />