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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/21/2020 <br />Name...._ Brian Donoghtie <br />Department <br />BPW Date 1/2 /2020 Phone Extension <br />iwimuiww,v,mmnmuiuwwm.... rsiwura ., r�xermmmnv�iawiuw�uri <br />Review and a�p� IT..., w� ' Prior to Submittal to Board <br />Diversity Compliance ® Officer Name <br />and Inclusion Officer <br />BPW Attorney Attorney Name <br />Dept. Attorney Z Attorney Name <br />Purchasing z <br />Check the <br />Item " y c�C uir �� 1 Jbr° All Submissions <br />. <br />Professional Services Agreement ❑ Contract <br />Open Market Contract <br />Z <br />Amendment/Addendum <br />Bid Opening <br />] <br />Bid Award <br />Quote Opening <br />El <br />Quote Award <br />Proposal Opening <br />C/O & PCA No. <br />n <br />Chg. Order, No. <br />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 />Special Purchase, QPA <br />El Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheei <br />Five / Four Advisors <br />❑ Yes ❑ If Yes Approved by Purchasing <br />hasing <br />® No <br />MBE Completed E-Verify Form Attached ❑ Yes <br />F] WBE ❑ No <br />CDFI Friendlv City <br />19JO03 � <br />Redevelopment General (Poka on <br />433.1050-460.39-30 <br />November 15 2019 — December 31 2020 <br />Update for CDFI Friendly contract with Phase 3 scope of work to impleme: <br />CDFI Friendly South Bend, including board development and additional <br />program management resources <br />For ChL pe Orders Qnjy.::.. <br />Amount of Increase $ <br />Decrease ($ ) <br />Previous Amount <br />$ <br />Increase <br />% <br />Current Percent of Change: <br />Decrease <br />_ <br />( % <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease_ <br />% o <br />Time Extension Amount: <br />New Completion Date: <br />............�,,,.................�.Y... <br />............ <br />