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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date 02/20/2020 <br />Name Patrick Sherman Department VPA <br />BPW Date 02/25/2020 Phone Extension 5601 <br />_...._._.. .-.w._......... _ __...._........... _ _ _....... <br />.._.. Review andvalai eel Prior to Submittal to Board <br />Diversity Compliance ❑ Officer Name <br />and Inclusion Officer <br />BPW Attorney Z Attorney Name Clara NicDaniels <br />Dept. Attorney ® Attorney Name Clara McDaniels <br />Purchasing Z Michael Schmidt <br />Check the <br />F] Professional Services Agreement n Contract <br />Required,fiv All Submissions <br />0 <br />Open Market Contract ® Amendment/Addendum <br />E] <br />Bid Opening ❑ Bid Award <br />Quote Opening ❑ Quote Award <br />EJ <br />Proposal Opening ❑ C/O & PCA No. <br />E] <br />Chg. Order, No. F-1 Traffic Control <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 />Industries, Inc. <br />Proposal <br />Special Purchase, QPA <br />Req. to Advertise <br />Reject Bids/Quotes <br />PCA <br />Resolution <br />Ease./Encroach <br />❑ Title Sheel <br />H Yes H If Yes, Approved by Purchasing <br />® No <br />❑MBE Completed E-Verify Form Attached ❑ Nos <br />WBE <br />Howard Park Signage and Wa find itagmmmmmmmmmm ._ _..... <br />1093-2019 ............_.........�.�_ <br />_..._ ...... <br />VP <br />A Marketing, Re�alpCities, VPA Foundation <br />201-1110-452.39-89 and 201-1111-452.42-01 <br />New total of $153,715.00 <br />Goods and Services Agreement <br />Amendment for the addition of donorWsignage at Howard Pa ...._.m <br />Park. <br />_. ........... _ ... ....... _ _...... <br />__. <br />For Change Orders Only <br />Amount of Increase $ <br />Decrease ($ ) <br />Previous Amount $ <br />Increase% ............�................ _.._......_._......_�w._...�. <br />Current Percent of Change: Decrease _(IT %) .... m <br />New Amount $ <br />..... .......- —.................w <br />Increase % ..�.�........m <br />(...... .� . <br />Total Percent of Change: Decrease %) <br />Time Extension Amount: <br />.............. ........_.,... _ .......... _....._..�...�.�.�....�.�_ _ ...� <br />New Comnletion Date: <br />