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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02-04-2020 <br />Name Daniel Buc'kenme er Department DCI <br />BPW Date 02-11-2020 Phone Extension 582311111110 <br />..... _ ..----- . . ............. ...- ....... <br />. <br />Required Prior to Submittal to Board <br />BPW Attorney Attorney Name <br />Dept. Attorney Attorney Name Sandra Kerrrreclr� <br />........_........ ......— <br />Purchasing ❑ <br />Check the <br />Professional Services Agreement <br />Open Market Contract <br />❑ Bid Opening <br />❑ Quote Opening <br />E] Proposal Opening <br />❑ Chg. Order, No. <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 />riate Item Type - <br />X Contract <br />El Amendment/Addendum <br />F] Bid Award <br />n Quote Award <br />C/O & PCA No. <br />❑ Traffic Control <br />uired Information <br />All Submissions <br />Proposal <br />" Special Purchase, QPA <br />E] Req. to Advertise ❑ Title Sheet <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />Purdue MEP Center <br />Yes If Yes A roved b WPurchasi ...................... <br />_.. _w _.. <br />I� Pp Y Purchasing <br />X No <br />MBE Completed E-Verify Form Attached El Yes <br />WBE ❑ No <br />Pathways On De <br />mand Program <br />EDIT <br />404-1001-460-3 9.30 <br />$43,000 <br />Purdue MEP will be creating a manufacturing training program for individu, <br />housed at the Ducomb Center and South Bend Re -Entry Center. <br />�.. <br />For ChaOrders Oply ,....... _........ <br />Amount of ❑ <br />Increase $mmm <br />_. ----- <br />❑ <br />Decrease ($ <br />) <br />Previous Amount <br />$ <br />............ ........... <br />Increase <br />_ ....... <br />% <br />Current Percent of Change: <br />Decrease <br />%) <br />New Amount <br />$ <br />Increase <br />% <br />Total Percent of Change: <br />Decrease <br />_......... ..... <br />( %) <br />Time Extension Amount: <br />New Completion Date: <br />