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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 01/07/2020 <br />Name Becca Plante Department Public Works <br />BPW Date 01/14/2020 Phone Extension 5998 <br />imi�m�m�m�mummmm�uuuuuuummm�uuum�m�m�m�m�m�mumimimimmmuuuuuuiunl�mimmmmmu mommmmm�mmwmmmmmmmmmmm <br />.............. ..u_._._ .......__._.__....m ..._,_.. ..—. _....—....... ......... ._ <br />Review and Approval Re aired Prior to Submittal to Board <br />_ _...._... .............._........_ <br />Diversity Compliance ® Officer Name Aladean DeRose <br />and Inclusion Officer <br />BPW Attorney ® Attorney Name Clara McDaniels <br />Dept. Attorney F] Attorney Name <br />Purchasing <br />FM <br />Check the Appropriate Item Type - <br />[] Professional Services Agreement [:] Contract <br />R Open Market Contract <br />❑ Amendment/Addendum <br />E Bid Opening <br />❑ Bid Award <br />R Quote Opening <br />❑ Quote Award <br />Proposal Opening <br />EJ C/O & PCA No. <br />❑ Chg. Order, No. <br />El Traffic Control <br />[] Other: <br />lac twzircd Information <br />All Submissions <br />Proposal <br />❑ Special Purchase, QPA <br />Req. to Advertise <br />❑ Reject Bids/Quotes <br />PCA <br />E] Resolution <br />❑ Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name <br />S !:npl l ew -.................................... <br />Yes If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE <br />❑ <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />❑ <br />❑ Nos <br />Project Name <br />BendixwTheater Esports Arena <br />Project Number <br />119-106C <br />Funding Source <br />................... _.... <br />Hotel Motel Tax Fund <br />........ ww <br />Account No. <br />304.42010.000.0099 <br />_....�. <br />Amount <br />. ....................__.._ .............. <br />$180,000 <br />w <br />Terms of Contract <br />Lump Sum <br />Purpose/Description <br />Professional services to design and supervise Bendix Theater renovations a <br />technologyu grades associated with an esports arena. <br />............. _.. <br />_........_ .............................�] <br />_.... <br />_ For ChOrders ilcIl <br />Increase <br />Amount of <br />�] <br />�m$ mu,.... -w <br />Decrease _� . � � _....... ..�.. .......... ..._.. � t' 42:.....��_"�...._.....� <br />t <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />�.... <br />Decrease /o) <br />New Amount <br />$ <br />Increase % <br />Total Percent of Change: <br />Decrease <br />Time Extension Amount: <br />New Completion Date: <br />