Laserfiche WebLink
BOARD OF PUBLIC WORKS <br />AGENDA ITEM REVIEW REQUEST FORM <br />Date2/26/20 ..............�.�.........W.... <br />..._��.............................� <br />_.. <br />Name Lor r Timmer Department DCI <br />BPW Date 3/10/20 <br />. ....,aa�w�wwrvurrnmm�muir.�mimir��miwiwuw�mm� <br />Phone Extension 5 841 <br />mm�icumnmue�a�sui�����ww� mu�rer�muu.... mmnr.. mmaawawmw�w�im orvm �m� <br />Diversity Compliance <br />and Inclusion Officer <br />® Officer Name Michael Patton <br />BPW AttorneyAttorney <br />ey Name Clara klcDaniels <br />Dept. Attorney <br />® Attorney Name Sandra Kennedy <br />Purchasing <br />.............__w,,�.�.............................. _ <br />® Michael Schmidtm��..��...............�............��.........�.�.�.�................. <br />..Check the A .'ro�ttte Item Ty mmmm lt,wred� All Submissions <br />El_...� <br />Professional Services Agreement Z Contract <br />-......... <br />❑ Proposal <br />❑ Open Market Contract <br />❑ Amendment/Addendum <br />F-1 <br />Special Purchase, QPA <br />Bid Opening <br />[:] Bid Award <br />E] <br />Req. to Advertise ❑ Title Sheei <br />E] <br />Quote Opening <br />El <br />Quote Award <br />Reject Bids/Quotes <br />Proposal Opening <br />C/O & PCA No. ❑ PCA <br />Chg. Order, No. <br />Traffic Control Resolution <br />Other: <br />Ease./Encroach <br />...... <br />_... <br />_._ . �oaeai...Informat..._._ <br />ion <br />Company or Vendor Name <br />South Bend <c_F Foundation <br />New Vendor <br />❑...... <br />� <br />Yes[:] If Purchasing �- <br />Z <br />No <br />MBE/WBE Contractor <br />EJ MBE Completed E-Verify Form Attached ®❑ Nos <br />Project Name <br />Rental _Housing Construction Project <br />Project Number <br />19-JC-26 <br />Funding Source <br />Community Development Block Grant (CDBG) <br />Account No. <br />212.1001.460.39.30 <br />Amount <br />$480,000 <br />Terms of Contract <br />1/01/2020 —................................................ �_� ��� <br />123 2 0 <br />1/2 2 <br />Purpose/Description <br />Subsidize the cost of... _ <br />building a new construction 6-unit rental project <br />_. <br />...�ww..._ � <br />m" QpI1 <br />�.. ._ .. �mo� C�������e Orders `�. �,.�� ... �m <br />Amount of ❑�.�. <br />.�._.� _..� ..._........ <br />Increase $ <br />Decrease �$ ) <br />Previous Amount <br />$ m............%............_ <br />Increase......................�.�.�.�. <br />Current Percent of Change: <br />........_............... m.................................................. <br />Decrease % <br />New Amount <br />......................_..... w __................................. <br />$ <br />Increase /o <br />Total Percent of Change: <br />Decrease ( � /o............................ _. ��.........................,_��...n......m...............................................w�w�— <br />Time Extension Amount: <br />.................................m...........................�� <br />New Completion Date: <br />... ..... _........ �. <br />