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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date: 12/9/2019 <br />Naive: Adam Parsons <br />BPW Date: 12/19/2019 <br />Central Services <br />Phone Extension: 9302 <br />.....mm....... <br />.w _.�.�.......... <br />required Prior to Submittal to Board <br />W Attorney X Attorney Name <br />Dept. Attorney Z Attorney Name Clara McDaniels <br />Purchasing ® Michael S"chn'tidt <br />Check the Annropriatc Item "I ydn - Required for All Submissions <br />Professional Service <br />s Agreement F-] Contract <br />[] Open Market Contract ❑ Amendment/Addendum <br />❑ Bid Opening ❑ Bid Award <br />❑ Quote Opening ❑ Quote Award <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 />Information <br />Proposal <br />0 Special Purchase, QPA <br />❑ Req. to Advertise <br />❑ Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />❑ Ease./Encroach <br />❑ Title Sheer <br />Industrial Door of Northern Indiana <br />❑ Yes❑ If Yes, Approved by Purchasing <br />® No <br />MBE <br />❑ WBE Completed E-Verify Form Attached Nees <br />City Wide Overhead Door Services <br />Various departmental mmaintenance ...funds <br />_...._................... <br />TBD <br />._...� ......._.•......_.......•••....................... _.................... .�...... .w <br />2-year initial contract; 2-year option with 5% hourlv rate increase <br />To standardize and streamline the repair and installation of overhead doors <br />throughout the City. <br />For Clan <br />Amount of �~~—- <br />Increase `$ <br />Decrease $ <br />Previous Amount $ <br />Increase <br />Current Percent of Change: Decrease <br />New Amount $ _ _ <br />.....Increase .......... <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />New Completion Date: <br />Orders Onl <br />(.... 0 <br />%1 <br />'5 <br />t(1 I <br />