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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 1/29/2020 <br />Name Pam M earmm ................. Department DCI <br />BPW Date 2/06/2020 Phone Extension 5845 <br />u mnr r im wa, m^u uaammmimmmuuummmmmmmmmuuuuuuuuuuummuuuuuummumwi�wrr�n�n�,rrrm mwuwmi mo�mr�m�mm www�+ a <br />1 p vi Rcuired Prior to Submittal to Board <br />....��_�_....._..__.._.... Review and A � ��IT __.._...... .......�....._..._. ._....w �. .............. <br />Diversity Compliance Officer Name Aladean DeRose <br />and Inclusion Officer <br />... ............ .......... <br />BPW AttorneyAttorney Name Clara McDaniels <br />_. ..._... ... _............... ...mm...... ........... <br />De.._ �. <br />pt. Attorney Attorney Name Sandra Kennedy <br />Purchasing <br />Michael Schmidt <br />1.11G1.11 111G 11G111 .1.. <br />.:.::...w:... �.,., .__..�:....._...::::.. .:...... . <br />[� Professional Services Agreement Contract <br />Open Market Contract ❑ Amendment/Addendum <br />Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />Proposal Opening ❑ C/O & PCA No. <br />�j Chg. Order, No. ❑ Traffic Control <br />Other: ivalified Bidders List <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 />Amount of ❑ <br />El <br />Previous Amount <br />Current Percent of Change <br />New Amount <br />Information <br />J Proposal <br />Special Purchase, QPA <br />® Req. to Advertise ❑ Title Sheei <br />❑ Reject Bids/Quotes <br />PCA <br />❑ Resolution <br />Ease./Encroach <br />Yes If Yes, Approved by Purchasing .... <br />F] No <br />MBE Completed E-Verify Form Attached ElYes <br />FJWBE No <br />Qualified Contractors for Lead Hazard Reduction Demonstration Grant <br />CDBG-Disaster Recovery and Lead Hazard Reduction funding through <br />IHCDA State Grant Fund <br />The purpose of this is to amend the list of pre -qualified contractors for the <br />Lead Hazard Reduction Demonstration Grant (IHCDA), which seeks to <br />perform lead hazard reduction work on 40 homes in the City in 2020. We <br />seek to make this Bidder's List open continuously, to allow contractors to <br />more easily participate. We have an advertisement requirement of 2 <br />announcement's libl shed 1 week apart every 6 months. <br />For Clyagge Qrders Only, <br />Increase $ „ <br />Decrease$ ........_ ) �.t.. <br />Increase 0 <br />Decrease %� <br />__...a <br />$ mmLL <br />Increase <br />Total Percent of Change: Decrease <br />Time Extension Amount: <br />z <br />