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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date December 9, 2019 <br />Name An,2elina Billo <br />Department: DCI <br />BPW Date December 19, 2019 Phone Extension 5838 <br />/8%^«'FW�A' ppl '"^"� A...e��tB�R9flflfMi���WI�I�I�I�I�I��/�kAdtf�myA/e""""'^^""d!hAG'd16�6^!E@„Y,ul"iVIMMMMMINIIMIIVIIW'I�ll4WIVVWWllWllWNWWWIVIDY +� ��u�yy�yyy,�,,Ty�p�p�p�yyy,�,yyyq�ryry, ��,IMMflh?l,^� WWIII <br />,�........ .........mm..�.�. _mm 4M�*�.Y%u� mm.. ......mow. .,, ...�.w w....... ,. <br />_m wired Prior to Submittal to Board <br />___m_...... - w �.. <br />BPW Attorney El Attorney Name <br />Dept. Attorney F-1 Attorney Name Sandra Kennedy <br />_�.�.�.�......................._ ,.. _a. <br />Purchasing ❑ <br />TA __m...:. <br />e wrCheck the Apl°rate Iem <br />. i...... <br />Professional Services Agreement El Contract <br />❑ Open Market Contract ❑ndment/Addendum [� 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 />. ......... <br />I Rauh d Informatior <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 />LLP <br />ro,r All Juvmisslons <br />Proposal <br />El Special Purchase, QPA <br />Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />LI Yes" If Yes, Approved by Purchasing <br />No <br />MBE Completed E-Verify Form Attached Yes <br />WBE ❑ No <br />Tax Abatement Consultina Services <br />211.1001.460.31. 06 <br />$ 25,000 <br />Crowe LLP will coordinate, input and review all compliance forms for the <br />annual tax abatement report. <br />Amount of Increase $ <br />❑ Decrease ($ ) <br />Previous Amount $ __ �b_ .... � ....�....�........ ._...............w. <br />Increase % <br />Current Percent of Change: Decrease <br />New Amount $ <br />Increase % <br />(.. .............. <br />Total Percent of Change: Decrease /o <br />Time Extension Amount: <br />New Completion Date: <br />