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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 12/16/2019 <br />Name Brian Donoghue Department Innovation & Tech!!2 o <br />BPW Date 12/19/2019 Phone Extension 7652 <br />wired Prior to Submittal to Board <br />9 _ _.. .... .--........ <br />Legal ® Attorney Name Kennedy <br />Controller review is required for all Contracts $5,000.00 or more <br />Controller Z and greater than one year in length per the City Purchasing <br />Policy <br />Purchasing <br />_ .m <br />A .Ito gate .I ..... - <br />Professiona <br />l Services Agreement ttem Tad-�r��o�� All Submissions <br />..- <br />� Contract Proposal <br />Open Market Contract ❑ Amendment/Addendum Special Purchase, QPA <br />[J Bid Opening ❑ Bid Award Req. to Advertise ❑ Title Sheet <br />Quote Opening ❑ Quote Award ❑ Reject Bids/Quotes <br />Proposal Opening E] C/O & PCA No. F-1 PCA <br />E] Chg. Order, No. Traffic Control n Resolution <br />._ ...Other: F1 Ease./Encroach <br />W.._.... <br />t eq ui ed Information <br />Company or Vendor Name <br />Claremont Graduate Univc!sity <br />New Vendor <br />_ <br />Yes If Yes, Approved b Purchasing <br />� � pp y g <br />® No <br />MBE/WBE Contractor <br />MBE Completed E-Verify Form Attached � Yes <br />F] WBE No <br />Project Name <br />Project Number <br />n/a <br />Funding Source <br />Redevelopment General Poka one <br />Account No. <br />433.1050-460.39-30 ._ ... _... <br />Amount <br />$150,000 ..._._.� .. ......��..........�__..__ <br />Terms of Contract <br />7/1/2019 - 7/1/2020 <br />Purpose/Description <br />Development of Lifelong Learning ��... o ������ it of <br />platform in coordination with city staff <br />and regional partners <br />For Change Orders Only_ ......._..... <br />AIncrease $ <br />Amount of <br />[� Decrease $ <br />Previous Amount $ <br />Current Percent of Change: % <br />New Amount $ <br />Total Percent of Change: % <br />Time Extension: <br />Dispersal After Approval <br />Copy <br />Original <br />Donoghue ❑ Brian Do ......_.. <br />® <br />_._. <br />❑ Amanda Pietsch_._�w—w. <br />❑ Daniel Parker ............. <br />