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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date <br />Name <br />Department DCI <br />BPW Date 12/10/19 Phone Extension 5845 <br />r�� ermrcm�rsr:aurranvwwemrmmm . rr�ww�mmimimiwu�wwwu�wiwwwmwwi!��u!�uww�wwvvu�wwwwwa�+mrr�✓,¢��ro� mw mwnnn�ro�u„rc� ,� rmm�ms,���w�w�w�w�w� H�a �u,�rsiMur <br />Ie�tl Prior to Submittal <br />to Board <br />BPW Attorney Z Attorney Name Clara Daniels <br />Dept. Attorney Z Attorney Name Sandra Kennedy <br />Purchasing ® Michael Schmidt <br />Check the <br />Item Type — Requi bi d — All Submissions <br />L' Professional Services Agreement ❑ Contract <br />Open Market Contract ® Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />❑ <br />Quote Opening Quote Award <br />❑ <br />Proposal Opening ❑ C/O & PCA No. <br />Chg. Order, No. ❑ Traffic Control <br />7 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 />Information <br />U Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />E Reject Bids/Quotes <br />PCA <br />❑I Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Goodwill Industries of Michiana Inc. <br />....... Yes....... If YesApproved <br />_.�. _.�.....�. ......�.� ........ <br />❑ ❑ , pp ed by Purchasing <br />® No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />WBE ❑ No <br />Bridges ERN -employer Resource Navigator Program LL <br />COIT <br />404 460.31.06 <br />$.9..00.0..00..... - <br />I/l/2020-12/31/2020 <br />Extends Term of Agreement supporting ERN to provide assistance to low <br />income entry employees and supporting businesses and employee retention <br />For Ch Orders — <br />.Onlv.......... . <br />Amoun <br />t of EJ Increase $ <br />❑ Decrease ($ <br />Previous Amount $ <br />. ......Increasem..m ...........................%... <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase % <br />...... <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />