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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/5/2019 <br />Name .�.�Ltary Timmer.........................................� _.��.. <br />Department DCI <br />BPW Date 12/17/2019 Phone Extension 5841 <br />Wiuwi �onr�... m ,�. s�rcartwme�mmrr ��..,. awawuw� vw.wnm��,.. �w�uuuuumuw�m.r ,.. m iwmowaw �.. �;�w„ <br />.... _. �_w'.e uir�ed Prior to Submittal to Board <br />y ® Attorney Name Clara McDaniels <br />Dept. Attorney Attorney Name Sandra Kennedy <br />Purchasing ® Michael SchmidtCheck t......................_Y <br />Professi...onal Se <br />-mmTymmmrvices Agreeh <br />ElJe <br />Professional Contract <br />It TyeiemtIT� <br />� � � ntract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening 0 Bid Award <br />El Quote Opening El Quote Award <br />EJ Proposal Opening C/O & PCA No. <br />Chg. Order, No. Traffic Control <br />..Other:... <br />Required Information <br />ll Submissions: <br />L Proposal <br />E] Special Purchase, QPA <br />0 Req. to Advertise ❑ Title Sheei <br />E] Reject Bids/Quotes <br />PCA <br />Resolution <br />F] Ease./Encroach <br />❑� m ❑� Resources._ppy gf c������to�ti <br />Company or Vendor Name Neighborhood A roved b ices Purchasing <br />New Vendor ®No <br />MBE/WBE Contractor ❑ WBE Completed E-Verify Form Attached ® Nos <br />Project Name Neighborhood CapacitvBuilding Activity <br />Project Number 1 9-JC-86 <br />Funding Source Community ,..Development Block Grant (CDBG) <br />� <br />Account No.212 OO460.39 30 <br />Amount... $.1�..��0.00........... _.m��...�� �,...��...�...ww._..�...................�..... ��...�.... ............��.�.........._� <br />Terms of Contract 1/01/2020 — w...._.12/31/ ......................�......_. m......................................... �,...............................e.. <br />2020 _ <br />Purpose/Description Assist residents oflow-moderate income nei6borhoods in bUildiY , strt gl <br />neigl bor.4od organizations and associations, <br />__. <br />For Chcige Orders n <br />�._...gmm�_.. <br />Amount of ❑ Increase $ <br />Decrease ($ ) �.�..... �... �... ._...._ <br />Previous Amount $ <br />Current Percent of Change: <br />New Amount <br />Increase % <br />Decrease ( % <br />Increase % <br />W....... _ �. <br />Total Percent of Change: Decrease /o <br />Time Extension Amount: <br />New Completion Date: <br />