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BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date February 18 2020 <br />Department <br />Name Charlotte Brach Engineering <br />BPW Date February 25 2020 Phone Extension <br />Review and Apprival Re uirt4 Prior to Submittal to Board <br />and Inclusion Offi <br />er <br />..._ _. <br />Diversity Compliance® Officer Name Michael Patton <br />cer <br />BPW Attorney Z Attorney M: Name Clara cDaniels <br />Dept. Attorney [J Attorney Name <br />��...._....... <br />Purchasing ❑ ....m.m..�����... <br />Check the AIaproprlo Item Ter <br />Z Professional Services Agreement ❑ Contract <br />El Open Market Contract Amendment/Addendum <br />Bid Opening Bid Award <br />[:] Quote Opening Quote Award <br />Ej Proposal Opening C/O & PCA No. <br />❑ Chg. Order, No. ❑ Traffic Control <br />Other: <br />All Submissions <br />LProposal <br />[l Special Purchase, QPA <br />El Req. to Advertise <br />Reject Bids/Quotes <br />❑ PCA <br />❑ Resolution <br />❑ Ease./Encroach <br />❑ Title Sheel <br />Company or Vendor Name <br />VS Engineering„ Incmmmmmmmmmmmmm .... <br />0 <br />Yes❑ If Yes, Approved by Purchasing <br />New Vendor <br />No <br />MBE ❑ Yes <br />MBE/WBE Contractor <br />Completed E-Verify Form Attached <br />WBE ❑ No <br />Project Name <br />Avenue Streetscape <br />Dnba.......... <br />Project Number <br />- __ ............................... .. ....... <br />120-009 <br />Funding Source <br />_� ............................ ............ ....._.... <br />RWDA TIF <br />Account No. <br />3.24..................__ _ ...........................www_..._�............................. <br />-1050-460-42.02 <br />Amount <br />__................ ........_w .-..... _ .............. ........ <br />$203,900.00 <br />Terms of Contract <br />LuTpSum_......................._ ..._. <br />Purpose/Description <br />VS Engineering is an MBE Consultant. <br />For 0,Orders +a <br />Amount of <br />Increase $ .....____._.........� ......... <br />Decrease $� }wwwwww <br />Previous Amount <br />$ <br />Increase % <br />Current Percent of Change: <br />Decrease <br />New Amount <br />mm . mmmmm%o)mmm................ <br />$ <br />Increase % <br />Total Percent of Change: Decrease . %) <br />Time Extension Amount: <br />New Completion Date: <br />