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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date Janu 21 2020 <br />Name Aaron Perri Department VPA <br />BPW Date Januar 28 2020 Phone Extension 4782 <br />�. 7 momomo u <br />�� ...� ...: <br />Diversity Compliance Officer Name <br />and Inclusion Officer <br />BPW Attorney <br />Attorney Name <br />Clara McDaniels <br />Dept. Attorney <br />® Attorney Name <br />Clara McDaniels <br />Purchasing <br />El <br />Professional Services Agreement ❑Contract <br />Proposal <br />Open Market Contract <br />(] <br />Amendment/Addendum El Special Purchase, QPA <br />Bid Opening <br />El <br />Bid Award <br />El Req. to Advertise ❑ Title Sheei <br />Quote Opening <br />[l <br />Quote Award <br />Reject Bids/Quotes <br />Fj <br />Proposal Opening <br />C/O & PCA No. <br />❑ PCA <br />Fj <br />Chg. Order, No. <br />EJ <br />Traffic Control <br />® Resolution <br />(� <br />Other _ <br />(-1 Ease./Encroach <br />Company or Vendor Name <br />New Vendor <br />EJ Yes If Yes, Approved by Purchasing <br />No <br />MBE/WBE Contractor <br />E] MBE MBE Completed E-Verify Dorm ,attached � Yes <br />No <br />Project Name <br />Project Number <br />Funding Source <br />Account No. <br />Amount <br />_....... ..... <br />Terms of Contract <br />Purpose/Description Transfer all Howard Park Property recorded under the City ownership by a <br />through the Board of Public Works to City ownership by and through the <br />Board of Park Commissioners. <br />._ ....._�........�. For Chang Orders <br />Amount .. ...,.. _. .� ..mm_...W <br />of ❑ Increase $ <br />❑ Decrease �$ ) <br />Previous Amount $ _ <br />Increase ...�_. °/ _w .........���. .......�.._ <br />0 <br />Current Percent of Change: Decrease ( %) <br />New Amount $ <br />Increase /o <br />.... �..... _.... _. <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />New Completion Date: <br />